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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | None | $144.54 | $144.54 | $234.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $169.82 | Facility | None | $123.03 | $147.91 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Professional | None | $239.88 | $239.88 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $263.03 | Professional | None | $144.54 | $199.53 | $263.03 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $316.23 | Professional | None | $104.71 | $186.21 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $234.42 Typical High $234.42 | Facility | None | $218.78 | $234.42 | $234.42 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | None | $239.88 | $239.88 | $269.15 |
United Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $489.78 | Professional | None | $218.78 | $281.84 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
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 $72.44 Median $72.44 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $23.44 |
Where Washington sits
The same service costs 2.3 times more in Alaska than in Arizona. 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
$219
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.