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 $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $114.82 | Professional | None | $95.50 | $104.71 | $114.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $75.86 | Facility | None | $54.95 | $66.07 | $75.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $177.83 | Professional | None | $114.82 | $138.04 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $223.87 | Professional | None | $100.00 | $123.03 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | None | $288.40 | $288.40 | $354.81 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $109.65 | Professional | None | $57.54 | $79.43 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $204.17 | Facility | None | $120.23 | $199.53 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $134.90 | Facility | None | $131.83 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | None | $107.15 | $131.83 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | None | $114.82 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $281.84 | Professional | None | $109.65 | $147.91 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | None | $74.13 | $107.15 | $151.36 |
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 $47.86 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $17.38 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.47 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.55 | $10.47 | $11.48 |
Where Washington sits
The same service costs 2.6 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· 11th 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.