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 $208.93 Median $208.93 Typical High $234.42 | Facility | None | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $213.80 | Professional | None | $190.55 | $208.93 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $281.84 | Facility | None | $177.83 | $208.93 | $281.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | None | $190.55 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $363.08 | Facility | None | $186.21 | $288.40 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $354.81 | Professional | None | $181.97 | $234.42 | $354.81 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $251.19 | Professional | None | $79.43 | $204.17 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $208.93 Typical High $275.42 | Facility | None | $181.97 | $208.93 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $181.97 Typical High $478.63 | Facility | None | $154.88 | $181.97 | $478.63 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $281.84 | Facility | None | $177.83 | $208.93 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $208.93 | Professional | None | $194.98 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | None | $186.21 | $186.21 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $245.47 | Professional | None | $186.21 | $190.55 | $245.47 |
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 $95.50 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $19.05 | $20.89 | $20.89 |
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· 9th of 51
$200
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.