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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $512.86 | Facility | None | $199.53 | $295.12 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $380.19 Typical High $602.56 | Facility | None | $223.87 | $380.19 | $602.56 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $512.86 | Facility | None | $354.81 | $380.19 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $831.76 | Professional | None | $234.42 | $288.40 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | None | $263.03 | $263.03 | $398.11 |
2 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 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $21.38 |
Where Washington sits
The same service costs 3.3 times more in Iowa than in New York. 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
$251
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.