How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $467.74 | Professional | None | $288.40 | $288.40 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Facility | None | $288.40 | $288.40 | $302.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $616.60 | Facility | None | $316.23 | $588.84 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $4.47 Typical High $50.12 | Professional | None | $2.69 | $4.47 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $323.59 | Facility | None | $0.02 | $0.03 | $323.59 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $323.59 | Professional | None | $309.03 | $323.59 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $302.00 | Facility | None | $0.02 | $0.02 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | None | $275.42 | $309.03 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.82 | Professional | None | $1.00 | $1.00 | $1.82 |
4 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 $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
Where Washington sits
The same service costs 10.0 times more in Arizona than in Alabama. 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· 25th of 51
$309
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.