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 $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $446.68 | Professional | None | $407.38 | $446.68 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $446.68 Typical High $562.34 | Facility | None | $354.81 | $446.68 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,737.80 | Professional | None | $446.68 | $446.68 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Professional | None | $426.58 | $426.58 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $758.58 | Professional | None | $398.11 | $501.19 | $758.58 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $426.58 Typical High $524.81 | Professional | None | $75.86 | $426.58 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $812.83 | Facility | None | $389.05 | $489.78 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $954.99 | Facility | None | $309.03 | $371.54 | $954.99 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $436.52 Typical High $562.34 | Facility | None | $354.81 | $436.52 | $562.34 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | None | $426.58 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | None | $389.05 | $389.05 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $537.03 | Professional | None | $389.05 | $407.38 | $537.03 |
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 $204.17 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $204.17 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $40.74 | $44.67 | $44.67 |
Where Washington sits
The same service costs 1.5 times more in Alaska than in Oklahoma. 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· 3rd of 51
$447
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.