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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $251.19 | Professional | None | $165.96 | $181.97 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $269.15 | Facility | None | $165.96 | $169.82 | $269.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $331.13 | Facility | None | $218.78 | $218.78 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $478.63 | Facility | None | $147.91 | $194.98 | $478.63 |
Premera BCBS Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | None | $190.55 | $194.98 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $269.15 | Facility | None | $165.96 | $169.82 | $269.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None | $162.18 | $162.18 | $213.80 |
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 $83.18 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $25.12 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $16.60 | $18.20 | $18.20 |
Where Washington sits
The same service costs 1.6 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· 29th 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.