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 $309.03 Median $309.03 Typical High $501.19 | Facility | None | $309.03 | $309.03 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None | $281.84 | $309.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $380.19 | Facility | None | $239.88 | $309.03 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None | $281.84 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $537.03 | Facility | None | $269.15 | $416.87 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $512.86 | Professional | None | $245.47 | $338.84 | $512.86 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $363.08 | Professional | None | $79.43 | $295.12 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $426.58 | Facility | None | $257.04 | $398.11 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $645.65 | Facility | None | $213.80 | $251.19 | $645.65 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $380.19 | Facility | None | $239.88 | $288.40 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | None | $288.40 | $309.03 | $309.03 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | None | $269.15 | $269.15 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $363.08 | Professional | None | $269.15 | $281.84 | $363.08 |
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 $138.04 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.18 | $30.90 | $30.90 |
Where Washington sits
Rates are fairly even across states for this service. 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· 19th of 51
$282
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.