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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,445.44 | $1,513.56 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $870.96 | Facility | None | $660.69 | $794.33 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $724.44 Median $4,466.84 Typical High $6,456.54 | Professional | None | $724.44 | $4,466.84 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $512.86 | Facility | None | $478.63 | $478.63 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | None | $407.38 | $407.38 | $478.63 |
Kaiser Permanente Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,513.56 | Facility | None | $812.83 | $1,023.29 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,737.80 | Professional | None | $812.83 | $1,047.13 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $870.96 | Facility | None | $831.76 | $851.14 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | None | $707.95 | $707.95 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $912.01 | Professional | None | $691.83 | $724.44 | $912.01 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $758.58 | Professional | None | $389.05 | $389.05 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $1,288.25 Typical High $1,479.11 | Professional | None | $602.56 | $1,288.25 | $1,479.11 |
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 $724.44 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $724.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $151.36 |
Where Washington sits
The same service costs 3.2 times more in Michigan than in Ohio. 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
$813
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.