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 $2,398.83 Median $2,398.83 Typical High $2,511.89 | Facility | None | $2,398.83 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,398.83 | $3,019.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,311.31 | Facility | None | $2,089.30 | $2,398.83 | $3,311.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,884.03 | $2,884.03 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,630.27 | $4,365.16 |
Premera BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $5,623.41 | Facility | None | $1,778.28 | $2,089.30 | $5,623.41 |
Premera BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,311.31 | Facility | None | $2,089.30 | $2,398.83 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,137.96 | $2,818.38 |
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 $1,096.48 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,096.48 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $436.52 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $323.59 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $239.88 |
Where Washington sits
The same service costs 2.0 times more in Arizona than in Alabama. 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· 15th of 51
$2,239
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.