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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | None | $120.23 | $154.88 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Facility | None | $79.43 | $79.43 | $95.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $1,202.26 | Professional | None | $165.96 | $302.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $309.03 | Professional | None | $134.90 | $144.54 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $295.12 | Professional | None | $109.65 | $181.97 | $295.12 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $251.19 | Professional | None | $83.18 | $147.91 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $239.88 | Facility | None | $138.04 | $239.88 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | None | $165.96 | $165.96 | $269.15 |
United Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $316.23 | Professional | None | $138.04 | $173.78 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $213.80 | Professional | None | $107.15 | $144.54 | $213.80 |
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 $63.10 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $19.05 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.59 | $15.49 | $15.49 |
Where Washington sits
The same service costs 3.2 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· 17th of 51
$155
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.