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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $954.99 Typical High $1,949.84 | Facility | None | $79.43 | $954.99 | $1,949.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $147.91 Median $912.01 Typical High $3,162.28 | Professional | None | $147.91 | $912.01 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $257.04 | Professional | None | $112.20 | $125.89 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $269.15 | Professional | None | $100.00 | $158.49 | $269.15 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $257.04 | Professional | None | $77.62 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $194.98 | Facility | None | $117.49 | $190.55 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $144.54 | Facility | None | $141.25 | $144.54 | $144.54 |
Premera BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,862.09 | Facility | None | $691.83 | $1,000.00 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | None | $147.91 | $147.91 | $234.42 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,995.26 | Facility | None | $977.24 | $1,288.25 | $1,995.26 |
United Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $251.19 | Professional | None | $117.49 | $144.54 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $239.88 | Professional | None | $109.65 | $125.89 | $239.88 |
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 $61.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $14.45 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 19th of 51
$148
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.