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 $426.58 Median $426.58 Typical High $707.95 | Facility | None | $426.58 | $426.58 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $537.03 | Professional | None | $389.05 | $426.58 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $630.96 | Facility | None | $389.05 | $457.09 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $776.25 | Facility | None | $389.05 | $588.84 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | None | $389.05 | $389.05 | $398.11 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | None | $346.74 | $389.05 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,174.90 | Facility | None | $389.05 | $389.05 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $1,096.48 | Facility | None | $346.74 | $398.11 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $446.68 | Professional | None | $389.05 | $407.38 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $630.96 | Facility | None | $389.05 | $457.09 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $389.05 | Professional | None | $158.49 | $389.05 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None | $389.05 | $389.05 | $501.19 |
5 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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $39.81 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | JZ · No drug discarded | $309.03 | $331.13 | $354.81 |
Where Washington sits
The same service costs 1.7 times more in Alaska than in Oklahoma. 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· 47th of 51
$389
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.