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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $977.24 | Professional | None | $537.03 | $588.84 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $1,047.13 | Facility | None | $537.03 | $676.08 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,071.52 | Facility | None | $707.95 | $707.95 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $794.33 | Facility | None | $524.81 | $602.56 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $1,445.44 | Facility | None | $446.68 | $630.96 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $794.33 | Professional | None | $602.56 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $630.96 Typical High $1,047.13 | Facility | None | $524.81 | $630.96 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $691.83 | Professional | None | $524.81 | $524.81 | $691.83 |
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 $269.15 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $269.15 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $107.15 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $53.70 | $58.88 | $58.88 |
Where Washington sits
The same service costs 5.0 times more in Wyoming 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· 17th of 51
$589
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.