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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | None | $331.13 | $363.08 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $489.78 | Facility | None | $309.03 | $363.08 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,445.44 | Professional | None | $363.08 | $363.08 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $630.96 | Facility | None | $323.59 | $501.19 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $616.60 | Professional | None | $323.59 | $407.38 | $616.60 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $316.23 Typical High $537.03 | Facility | None | $309.03 | $316.23 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $851.14 | Facility | None | $269.15 | $316.23 | $851.14 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $489.78 | Facility | None | $309.03 | $363.08 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | None | $331.13 | $363.08 | $363.08 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | None | $323.59 | $323.59 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $426.58 | Professional | None | $323.59 | $331.13 | $426.58 |
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 $165.96 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $165.96 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $48.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.11 | $36.31 | $36.31 |
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· 8th of 51
$355
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.