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 $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $8,709.64 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,709.64 | $8,912.51 | $8,912.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $8,912.51 | Facility | None | $371.54 | $602.56 | $8,912.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $47,863.01 | Professional | None | $8,912.51 | $8,912.51 | $47,863.01 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $17,378.01 | Facility | None | $8,709.64 | $8,709.64 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $794.33 | Professional | None | $407.38 | $537.03 | $794.33 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $2,951.21 Typical High $2,951.21 | Professional | None | $75.86 | $2,951.21 | $2,951.21 |
Premera BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $18,620.87 Typical High $25,703.96 | Facility | None | $11,481.54 | $18,620.87 | $25,703.96 |
Premera BCBS Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $8,912.51 | Facility | None | $416.87 | $602.56 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $9,332.54 | Professional | None | $8,709.64 | $8,709.64 | $9,332.54 |
Wellpoint Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
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 $4,365.16 Median $4,466.84 Typical High $4,466.84 | Professional | 52 · Reduced service | $4,365.16 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,778.28 Typical High $1,778.28 | Professional | 53 · Discontinued | $1,737.80 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Professional | 55 · Aftercare only | $1,318.26 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $870.96 Median $891.25 Typical High $891.25 | Professional | 56 · Pre-op care only | $870.96 | $891.25 | $891.25 |
Where Washington sits
The same service costs 26.3 times more in Alaska than in Montana. 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
$8,913
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.