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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,862.09 | $2,041.74 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,884.03 | Facility | None | $1,819.70 | $2,089.30 | $2,884.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,715.35 | Facility | None | $2,454.71 | $2,454.71 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $5,370.32 | Facility | None | $1,819.70 | $1,819.70 | $5,370.32 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $5,011.87 | Facility | None | $1,548.82 | $1,819.70 | $5,011.87 |
Premera BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,884.03 | Facility | None | $1,819.70 | $2,089.30 | $2,884.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,819.70 | $1,819.70 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,819.70 | $1,819.70 | $2,398.83 |
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 $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $933.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $186.21 | $204.17 | $204.17 |
Where Washington sits
The same service costs 3.2 times more in Alabama than in Hawaii. 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· 23rd of 51
$1,905
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.