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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | None | $141.25 | $141.25 | $154.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $134.90 | Facility | None | $95.50 | $114.82 | $134.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $794.33 | Professional | None | $169.82 | $169.82 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $190.55 | Professional | None | $102.33 | $144.54 | $190.55 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $234.42 | Professional | None | $79.43 | $141.25 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $245.47 | Facility | None | $144.54 | $239.88 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Facility | None | $165.96 | $165.96 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None | $169.82 | $169.82 | $208.93 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $380.19 | Professional | None | $151.36 | $194.98 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | None | $131.83 | $131.83 | $186.21 |
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 $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $15.49 |
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· 7th of 51
$170
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.