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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $281.84 | Professional | None | $173.78 | $173.78 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $229.09 | Facility | None | $162.18 | $194.98 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,348.96 | Professional | None | $288.40 | $288.40 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $323.59 | Professional | None | $173.78 | $245.47 | $323.59 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $467.74 | Professional | None | $158.49 | $281.84 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $288.40 | Facility | None | $281.84 | $288.40 | $288.40 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | None | $288.40 | $288.40 | $354.81 |
United Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $645.65 | Professional | None | $263.03 | $338.84 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | None | $218.78 | $218.78 | $309.03 |
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 $87.10 Median $87.10 Typical High $141.25 | Professional | 52 · Reduced service | $87.10 | $87.10 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | 53 · Discontinued | $34.67 | $34.67 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $28.18 |
Where Washington sits
The same service costs 2.2 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
$282
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.