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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $8,317.64 | Professional | None | $2,238.72 | $2,238.72 | $8,317.64 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $9,549.93 | Facility | None | $2,630.27 | $2,630.27 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,073.80 Median $19,054.61 Typical High $28,183.83 | Professional | None | $4,073.80 | $19,054.61 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $6,309.57 | Professional | None | $1,862.09 | $2,691.53 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,096.48 | Facility | None | $891.25 | $1,071.52 | $1,096.48 |
Premera BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,677.35 | Facility | None | $3,311.31 | $3,311.31 | $4,677.35 |
Premera BCBS Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $9,549.93 | Facility | None | $7,585.78 | $7,585.78 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $6,606.93 Typical High $9,549.93 | Professional | None | $4,073.80 | $6,606.93 | $9,549.93 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $8,709.64 Typical High $17,782.79 | Facility | None | $3,019.95 | $8,709.64 | $17,782.79 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $8,317.64 | Professional | None | $2,137.96 | $3,467.37 | $8,317.64 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,584.89 | $1,659.59 | $2,511.89 |
5 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 $1,122.02 Median $1,122.02 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | 53 · Discontinued | $446.68 | $446.68 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $346.74 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $346.74 |
Where Washington sits
The same service costs 14.1 times more in Alaska than in Missouri. 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
$4,677
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.