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 $22.91 Median $22.91 Typical High $47.86 | Facility | None | $22.91 | $22.91 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $44.67 Typical High $51.29 | Professional | None | $22.91 | $44.67 | $51.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.48 Median $338.84 Typical High $707.95 | Facility | None | $11.48 | $338.84 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $338.84 | Professional | None | $25.12 | $47.86 | $338.84 |
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 $22.91 Median $38.90 Typical High $57.54 | Professional | None | $22.91 | $38.90 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $89.13 | Professional | None | $28.84 | $48.98 | $89.13 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $47.86 Typical High $85.11 | Professional | None | $14.45 | $47.86 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $79.43 | Facility | None | $51.29 | $67.61 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $46.77 | Facility | None | $22.39 | $29.51 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | None | $24.55 | $24.55 | $47.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Facility | None | $245.47 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $69.18 | Professional | None | $25.12 | $47.86 | $69.18 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $616.60 | Facility | None | $134.90 | $346.74 | $616.60 |
United Setting Professional Modifier None Typical Low $24.55 Median $45.71 Typical High $77.62 | Professional | None | $24.55 | $45.71 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $51.29 | Professional | None | $15.49 | $34.67 | $51.29 |
5 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 $11.48 Median $16.98 Typical High $23.99 | Professional | 52 · Reduced service | $11.48 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.92 Typical High $9.55 | Professional | 53 · Discontinued | $4.57 | $6.92 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $5.13 Typical High $7.08 | Professional | 55 · Aftercare only | $3.47 | $5.13 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.47 Typical High $4.79 | Professional | 56 · Pre-op care only | $2.29 | $3.47 | $4.79 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | GP · Physical therapy plan | $31.62 | $31.62 | $31.62 |
Where Washington sits
The same service costs 3.8 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· 13th of 51
$46.77
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.