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 $239.88 Median $239.88 Typical High $263.03 | Professional | None | $239.88 | $239.88 | $263.03 |
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 $251.19 Typical High $323.59 | Professional | None | $173.78 | $251.19 | $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 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $416.87 | Facility | None | $245.47 | $338.84 | $416.87 |
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 $120.23 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $26.30 |
Where Washington sits
The same service costs 2.6 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· 8th 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.