How much rates vary
Facilitymedian $479 · 10th to 90th $398 to $912Professionalmedian $479 · 10th to 90th $398 to $933
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $524.81 | Professional | None | $478.63 | $524.81 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $630.96 | Facility | None | $398.11 | $478.63 | $630.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $2,089.30 | Professional | None | $478.63 | $478.63 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $933.25 | Facility | None | $630.96 | $630.96 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $870.96 | Professional | None | $446.68 | $588.84 | $870.96 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $436.52 Typical High $537.03 | Professional | None | $79.43 | $436.52 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $630.96 | Facility | None | $426.58 | $478.63 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $1,148.15 | Facility | None | $338.84 | $446.68 | $1,148.15 |
Premera BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $630.96 | Facility | None | $398.11 | $478.63 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $616.60 | Professional | None | $380.19 | $478.63 | $616.60 |
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 $234.42 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $47.86 | $52.48 | $52.48 |
Where Washington sits
The same service costs 1.8 times more in Wyoming than in North Carolina. 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· 24th of 51
$479
WY $724NC $398
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.