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 $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $549.54 | Professional | None | $331.13 | $331.13 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | None | $316.23 | $316.23 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $537.03 | Facility | None | $331.13 | $446.68 | $537.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,000.00 | Facility | None | $436.52 | $436.52 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $616.60 | Facility | None | $309.03 | $323.59 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $1,000.00 | Facility | None | $288.40 | $380.19 | $1,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $380.19 | Professional | None | $371.54 | $380.19 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $537.03 | Facility | None | $338.84 | $407.38 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $537.03 | Professional | None | $331.13 | $354.81 | $537.03 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | None | $426.58 | $426.58 | $436.52 |
3 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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Where Washington sits
The same service costs 3.5 times more in Minnesota 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· 36th of 51
$380
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.