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 $44.67 Median $144.54 Typical High $11,220.18 | Facility | None | $44.67 | $144.54 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $74.13 Typical High $154.88 | Professional | None | $32.36 | $74.13 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $186.21 | Professional | None | $48.98 | $61.66 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.44 Median $562.34 Typical High $1,148.15 | Facility | None | $23.44 | $562.34 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $36.31 Median $104.71 Typical High $870.96 | Professional | None | $36.31 | $104.71 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $74.13 Typical High $112.20 | Professional | None | $21.38 | $74.13 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $87.10 Typical High $251.19 | Professional | None | $38.02 | $87.10 | $251.19 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $158.49 Typical High $257.04 | Professional | None | $27.54 | $158.49 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $204.17 | Facility | None | $104.71 | $165.96 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $138.04 | Facility | None | $102.33 | $138.04 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $102.33 | Professional | None | $35.48 | $46.77 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $107.15 | Professional | None | $35.48 | $72.44 | $107.15 |
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 $38.02 Median $89.13 Typical High $223.87 | Professional | None | $38.02 | $89.13 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $147.91 | Professional | None | $41.69 | $63.10 | $147.91 |
3 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 54 · Surgery only Typical Low $33.88 Median $54.95 Typical High $102.33 | Professional | 54 · Surgery only | $33.88 | $54.95 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.96 Typical High $20.42 | Professional | 55 · Aftercare only | $6.76 | $10.96 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $7.24 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.47 | $7.24 | $13.80 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 7th of 51
$105
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.