How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $776.25 Median $6,165.95 Typical High $20,892.96 | Facility | None | $776.25 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $436.52 Typical High $3,715.35 | Facility | None | $30.20 | $436.52 | $3,715.35 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $831.76 Median $4,365.16 Typical High $5,011.87 | Professional | None | $831.76 | $4,365.16 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $6,760.83 | Facility | None | $1,862.09 | $2,511.89 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,318.26 | Professional | None | $616.60 | $724.44 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $1,174.90 | Professional | None | $199.53 | $380.19 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $354.81 Typical High $616.60 | Professional | None | $40.74 | $354.81 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $194.98 | Facility | None | $154.88 | $173.78 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $2,089.30 Typical High $2,818.38 | Facility | None | $812.83 | $2,089.30 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,348.96 | Professional | None | $831.76 | $831.76 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $7,943.28 | Facility | None | $1,445.44 | $2,238.72 | $7,943.28 |
United Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $812.83 | Professional | None | $346.74 | $407.38 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | None | $186.21 | $251.19 | $363.08 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Washington sits
The same service costs 10.0 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 15th of 51
$832
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.