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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | None | $426.58 | $478.63 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $575.44 | Facility | None | $389.05 | $575.44 | $575.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $3,388.44 | Professional | None | $512.86 | $512.86 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,071.52 | Professional | None | $501.19 | $707.95 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $645.65 | Professional | None | $588.84 | $630.96 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $588.84 | Facility | None | $575.44 | $575.44 | $588.84 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $933.25 Typical High $1,380.38 | Facility | None | $660.69 | $933.25 | $1,380.38 |
Premera BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | None | $512.86 | $512.86 | $630.96 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | None | $213.80 | $223.87 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | None | $363.08 | $363.08 | $512.86 |
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 $208.93 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $63.10 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $42.66 | $47.86 | $47.86 |
Where Washington sits
The same service costs 2.8 times more in Montana than in Florida. 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· 10th of 51
$490
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.