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 $38.90 Median $38.90 Typical High $70.79 | Facility | None | $38.90 | $38.90 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $70.79 | Professional | None | $38.90 | $50.12 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $87.10 Typical High $169.82 | Facility | None | $19.95 | $87.10 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $1,737.80 | Professional | None | $42.66 | $75.86 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $93.33 | Professional | None | $38.02 | $58.88 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $131.83 | Professional | None | $36.31 | $69.18 | $131.83 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $97.72 Typical High $169.82 | Professional | None | $26.92 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $109.65 | Facility | None | $72.44 | $100.00 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $74.13 | Facility | None | $22.39 | $28.84 | $74.13 |
Premera BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | None | $43.65 | $43.65 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $67.61 Median $91.20 Typical High $165.96 | Facility | None | $67.61 | $91.20 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $114.82 | Professional | None | $42.66 | $75.86 | $114.82 |
United Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $549.54 | Facility | None | $107.15 | $190.55 | $549.54 |
United Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $123.03 | Professional | None | $40.74 | $67.61 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $54.95 Typical High $79.43 | Professional | None | $26.30 | $54.95 | $79.43 |
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 $19.50 Median $25.12 Typical High $35.48 | Professional | 52 · Reduced service | $19.50 | $25.12 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $10.00 Typical High $14.13 | Professional | 53 · Discontinued | $7.76 | $10.00 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.59 Typical High $10.72 | Professional | 55 · Aftercare only | $5.89 | $7.59 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $5.01 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.89 | $5.01 | $7.08 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Virginia. 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
$75.86
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.