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 $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $331.13 | Professional | None | $213.80 | $331.13 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | None | $537.03 | $537.03 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $1,318.26 | Facility | None | $162.18 | $588.84 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $1,513.56 Typical High $1,905.46 | Professional | None | $323.59 | $1,513.56 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $602.56 | Professional | None | $190.55 | $223.87 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $446.68 Typical High $630.96 | Professional | None | $245.47 | $446.68 | $630.96 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $316.23 Typical High $512.86 | Professional | None | $56.23 | $316.23 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $457.09 | Facility | None | $288.40 | $436.52 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $309.03 Median $316.23 Typical High $316.23 | Facility | None | $309.03 | $316.23 | $316.23 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $1,096.48 | Facility | None | $446.68 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $537.03 | Professional | None | $288.40 | $323.59 | $537.03 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $676.08 | Professional | None | $251.19 | $295.12 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $501.19 | Professional | None | $229.09 | $309.03 | $501.19 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
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 3.0 times more in Wisconsin 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· 14th of 51
$324
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.