How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,630.78 | Professional | None | $3,467.37 | $3,548.13 | $3,630.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,466.84 | Facility | None | $3,548.13 | $3,548.13 | $4,466.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $19,054.61 | Professional | None | $3,981.07 | $3,981.07 | $19,054.61 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $6,606.93 Typical High $7,079.46 | Facility | None | $3,548.13 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,388.44 | $3,981.07 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None | $50.12 | $50.12 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,981.07 Typical High $3,981.07 | Facility | None | $1,584.89 | $3,981.07 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $4,466.84 | Facility | None | $2,951.21 | $3,981.07 | $4,466.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,801.89 Median $3,981.07 Typical High $4,168.69 | Professional | None | $3,801.89 | $3,981.07 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,248.07 | Professional | None | $3,467.37 | $3,467.37 | $5,248.07 |
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 $1,737.80 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,737.80 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $524.81 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $346.74 | $354.81 | $354.81 |
Where Washington sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 5th of 51
$3,631
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.