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 $42.66 Median $45.71 Typical High $70.79 | Facility | None | $42.66 | $45.71 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $67.61 | Professional | None | $42.66 | $48.98 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.44 Median $162.18 Typical High $338.84 | Facility | None | $23.44 | $162.18 | $338.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $46.77 Median $93.33 Typical High $512.86 | Professional | None | $46.77 | $93.33 | $512.86 |
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 $40.74 Median $61.66 Typical High $97.72 | Professional | None | $40.74 | $61.66 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $128.82 | Professional | None | $37.15 | $70.79 | $128.82 |
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 $69.18 Median $97.72 Typical High $109.65 | Facility | None | $69.18 | $97.72 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $70.79 | Facility | None | $22.39 | $29.51 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | None | $47.86 | $47.86 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $338.84 | Facility | None | $134.90 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $109.65 | Professional | None | $46.77 | $70.79 | $109.65 |
United Setting Facility Modifier None Typical Low $134.90 Median $239.88 Typical High $549.54 | Facility | None | $134.90 | $239.88 | $549.54 |
United Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $120.23 | Professional | None | $41.69 | $66.07 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $87.10 | Professional | None | $30.90 | $61.66 | $87.10 |
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 $21.38 Median $25.12 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $13.49 | Professional | 53 · Discontinued | $8.51 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.59 Typical High $10.23 | Professional | 55 · Aftercare only | $6.46 | $7.59 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.13 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.27 | $5.13 | $6.76 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$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.