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 $724.44 Median $6,165.95 Typical High $20,892.96 | Facility | None | $724.44 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | None | $724.44 | $724.44 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $416.87 Typical High $3,548.13 | Facility | None | $30.20 | $416.87 | $3,548.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $776.25 Median $4,073.80 Typical High $4,786.30 | Professional | None | $776.25 | $4,073.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $5,370.32 | Facility | None | $1,862.09 | $2,511.89 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,258.93 | Professional | None | $575.44 | $691.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $1,122.02 | Professional | None | $186.21 | $354.81 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $338.84 Typical High $588.84 | Professional | None | $38.90 | $338.84 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $162.18 Typical High $177.83 | Facility | None | $138.04 | $162.18 | $177.83 |
Premera BCBS Setting Facility Modifier None Typical Low $776.25 Median $2,089.30 Typical High $2,818.38 | Facility | None | $776.25 | $2,089.30 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,288.25 | Professional | None | $776.25 | $776.25 | $1,288.25 |
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 $380.19 Median $457.09 Typical High $933.25 | Professional | None | $380.19 | $457.09 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $338.84 | Professional | None | $173.78 | $234.42 | $338.84 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Where Washington sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 16th of 51
$776
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.