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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $371.54 | Professional | None | $338.84 | $371.54 | $371.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $512.86 | Facility | None | $316.23 | $363.08 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $660.69 | Facility | None | $446.68 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $331.13 Typical High $977.24 | Facility | None | $316.23 | $331.13 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $891.25 | Facility | None | $281.84 | $316.23 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $512.86 | Facility | None | $316.23 | $363.08 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
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 $169.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $169.82 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $37.15 |
Where Washington sits
The same service costs 1.5 times more in Arizona 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· 16th of 51
$339
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.