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 $147.91 Median $177.83 Typical High $194.98 | Facility | None | $147.91 | $177.83 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $245.47 | Professional | None | $141.25 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $275.42 | Professional | None | $138.04 | $257.04 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $346.74 | Facility | None | $102.33 | $208.93 | $346.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $371.54 | Professional | None | $194.98 | $204.17 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $398.11 | Professional | None | $177.83 | $309.03 | $398.11 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $239.88 | Professional | None | $81.28 | $131.83 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $323.59 | Facility | None | $181.97 | $269.15 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $346.74 | Facility | None | $190.55 | $218.78 | $346.74 |
United Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $426.58 | Professional | None | $186.21 | $234.42 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $288.40 | Professional | None | $151.36 | $194.98 | $288.40 |
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 52 · Reduced service Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $77.62 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.85 | $17.78 | $17.78 |
Where Washington sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 15th of 51
$191
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.