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 $57.54 Median $57.54 Typical High $141.25 | Facility | None | $57.54 | $57.54 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $141.25 | Professional | None | $56.23 | $70.79 | $141.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.92 Median $354.81 Typical High $741.31 | Facility | None | $26.92 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $138.04 Typical High $812.83 | Professional | None | $57.54 | $138.04 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $114.82 | Professional | None | $37.15 | $75.86 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $239.88 | Professional | None | $61.66 | $114.82 | $239.88 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $208.93 | Professional | None | $83.18 | $120.23 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $40.74 Median $154.88 Typical High $194.98 | Facility | None | $40.74 | $154.88 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $131.83 Typical High $138.04 | Professional | None | $57.54 | $131.83 | $138.04 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $144.54 | Professional | None | $38.90 | $69.18 | $144.54 |
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 $28.18 Median $34.67 Typical High $70.79 | Professional | 52 · Reduced service | $28.18 | $34.67 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.13 Typical High $28.18 | Professional | 53 · Discontinued | $11.22 | $14.13 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.47 Typical High $21.38 | Professional | 55 · Aftercare only | $8.32 | $10.47 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.08 Typical High $14.13 | Professional | 56 · Pre-op care only | $5.62 | $7.08 | $14.13 |
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Washington sits
The same service costs 2.5 times more in Alaska than in Washington, DC. 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· 3rd of 51
$115
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.