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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | None | $512.86 | $676.08 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $489.78 | Facility | None | $407.38 | $407.38 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $3,715.35 Typical High $4,466.84 | Professional | None | $707.95 | $3,715.35 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,148.15 | Professional | None | $537.03 | $537.03 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $1,230.27 | Professional | None | $426.58 | $691.83 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $776.25 Typical High $1,318.26 | Professional | None | $436.52 | $776.25 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,023.29 | Facility | None | $524.81 | $870.96 | $1,023.29 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $707.95 | Facility | None | $691.83 | $691.83 | $707.95 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,148.15 | Professional | None | $707.95 | $707.95 | $1,148.15 |
United Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $1,288.25 | Professional | None | $537.03 | $630.96 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Professional | None | $549.54 | $741.31 | $1,122.02 |
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 $257.04 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $51.29 | $67.61 | $67.61 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in New York. 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· 14th of 51
$741
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.