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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $5,128.61 Typical High $10,471.29 | Facility | None | $181.97 | $5,128.61 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $5,011.87 | Professional | None | $1,071.52 | $1,445.44 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $1,621.81 | Professional | None | $128.82 | $257.04 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $79.43 | Professional | None | $60.26 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $398.11 | Facility | None | $120.23 | $120.23 | $398.11 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $3,548.13 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,548.82 | Professional | None | $512.86 | $1,071.52 | $1,548.82 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $7,943.28 Typical High $12,302.69 | Facility | None | $6,025.60 | $7,943.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $478.63 | Professional | None | $131.83 | $245.47 | $478.63 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $288.40 | Professional | None | $67.61 | $138.04 | $288.40 |
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 $302.00 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $60.26 | $70.79 | $70.79 |
Where Washington sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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· 2nd of 51
$708
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.