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 $19.50 Median $19.50 Typical High $117.49 | Facility | None | $19.50 | $19.50 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $64.57 Typical High $117.49 | Professional | None | $19.50 | $64.57 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.00 Median $446.68 Typical High $912.01 | Facility | None | $10.00 | $446.68 | $912.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.38 Median $114.82 Typical High $645.65 | Professional | None | $21.38 | $114.82 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $831.76 | Facility | None | $79.43 | $131.83 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $67.61 Typical High $134.90 | Professional | None | $19.50 | $67.61 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $81.28 Typical High $177.83 | Professional | None | $19.95 | $81.28 | $177.83 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $173.78 | Professional | None | $45.71 | $97.72 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $165.96 | Facility | None | $128.82 | $154.88 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $42.66 Median $77.62 Typical High $131.83 | Facility | None | $42.66 | $77.62 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $109.65 | Professional | None | $20.89 | $20.89 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.38 Median $83.18 Typical High $162.18 | Professional | None | $21.38 | $83.18 | $162.18 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $707.95 | Facility | None | $134.90 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $20.89 Median $67.61 Typical High $177.83 | Professional | None | $20.89 | $67.61 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $13.49 Median $74.13 Typical High $109.65 | Professional | None | $13.49 | $74.13 | $109.65 |
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 $9.77 Median $32.36 Typical High $58.88 | Professional | 52 · Reduced service | $9.77 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $12.88 Typical High $23.44 | Professional | 53 · Discontinued | $3.89 | $12.88 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $9.77 Typical High $17.38 | Professional | 55 · Aftercare only | $2.95 | $9.77 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $6.46 Typical High $11.75 | Professional | 56 · Pre-op care only | $1.95 | $6.46 | $11.75 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | 50 · Both sides | $457.09 | $691.83 | $1,318.26 |
Where Washington sits
The same service costs 5.9 times more in Iowa 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· 6th of 51
$95.50
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.