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 $616.60 Median $616.60 Typical High $1,023.29 | Facility | None | $616.60 | $616.60 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $1,023.29 | Professional | None | $562.34 | $616.60 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,318.26 | Facility | None | $562.34 | $977.24 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,318.26 | Facility | None | $741.31 | $741.31 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $1,122.02 Typical High $1,202.26 | Facility | None | $630.96 | $1,122.02 | $1,202.26 |
Premera BCBS Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $1,819.70 | Facility | None | $512.86 | $794.33 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | None | $645.65 | $851.14 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $891.25 Typical High $1,148.15 | Facility | None | $645.65 | $891.25 | $1,148.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None | $562.34 | $562.34 | $741.31 |
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 $288.40 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $288.40 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $85.11 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $57.54 | $61.66 | $61.66 |
Where Washington sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 21st of 51
$661
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.