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 $51.29 Median $6,165.95 Typical High $27,542.29 | Facility | None | $51.29 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $64.57 | Professional | None | $34.67 | $51.29 | $64.57 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $21.88 Median $1,071.52 Typical High $2,187.76 | Facility | None | $21.88 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $870.96 | Professional | None | $45.71 | $72.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $91.20 | Professional | None | $32.36 | $48.98 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $102.33 | Professional | None | $43.65 | $67.61 | $102.33 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $75.86 | Professional | None | $26.30 | $44.67 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $83.18 | Facility | None | $56.23 | $79.43 | $83.18 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $54.95 | Facility | None | $16.98 | $22.39 | $54.95 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | None | $45.71 | $56.23 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $2,187.76 | Facility | None | $776.25 | $1,148.15 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $89.13 | Professional | None | $45.71 | $56.23 | $89.13 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,819.70 | Facility | None | $134.90 | $346.74 | $1,819.70 |
United Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $107.15 | Professional | None | $43.65 | $56.23 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $5.50 Median $39.81 Typical High $60.26 | Professional | None | $5.50 | $39.81 | $60.26 |
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 $25.70 Median $26.30 Typical High $31.62 | Professional | 52 · Reduced service | $25.70 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $12.59 | Professional | 53 · Discontinued | $10.23 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $39.81 Typical High $47.86 | Professional | 54 · Surgery only | $38.02 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.94 Typical High $9.55 | Professional | 55 · Aftercare only | $7.76 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $6.31 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 29th of 51
$50.12
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.