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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | None | $173.78 | $239.88 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $954.99 Typical High $1,949.84 | Facility | None | $144.54 | $954.99 | $1,949.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $1,174.90 Typical High $1,698.24 | Professional | None | $251.19 | $1,174.90 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $407.38 | Professional | None | $162.18 | $257.04 | $407.38 |
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 $158.49 Median $158.49 Typical High $165.96 | Facility | None | $158.49 | $158.49 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Premera BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,862.09 | Facility | None | $758.58 | $1,000.00 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $426.58 | Professional | None | $251.19 | $251.19 | $426.58 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,995.26 | Facility | None | $977.24 | $1,288.25 | $1,995.26 |
United Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $446.68 | Professional | None | $204.17 | $239.88 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $371.54 | Professional | None | $173.78 | $194.98 | $371.54 |
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 $109.65 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $109.65 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $32.36 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.88 | $23.99 | $23.99 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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.