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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $457.09 | Professional | None | $323.59 | $457.09 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $891.25 | Facility | None | $269.15 | $446.68 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $4,168.69 | Professional | None | $426.58 | $691.83 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $812.83 | Professional | None | $257.04 | $407.38 | $812.83 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,202.26 | Professional | None | $416.87 | $676.08 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Facility | None | $758.58 | $758.58 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $630.96 | Facility | None | $524.81 | $524.81 | $630.96 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $630.96 | Professional | None | $549.54 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $891.25 | Facility | None | $354.81 | $467.74 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $794.33 | Professional | None | $426.58 | $537.03 | $794.33 |
United Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Facility | None | $524.81 | $691.83 | $1,071.52 |
United Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $831.76 | Professional | None | $363.08 | $489.78 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $741.31 | Professional | None | $363.08 | $501.19 | $741.31 |
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 $218.78 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $218.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $43.65 | $45.71 | $45.71 |
Where Washington sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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
$550
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.