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 $54.95 Median $54.95 Typical High $112.20 | Facility | None | $54.95 | $54.95 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | None | $54.95 | $75.86 | $112.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $426.58 Typical High $870.96 | Facility | None | $28.84 | $426.58 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $851.14 | Professional | None | $57.54 | $125.89 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $186.21 | Facility | None | $66.07 | $112.20 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $151.36 | Professional | None | $52.48 | $89.13 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $102.33 Typical High $194.98 | Professional | None | $56.23 | $102.33 | $194.98 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $144.54 Typical High $257.04 | Professional | None | $39.81 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $181.97 | Facility | None | $112.20 | $162.18 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $70.79 Typical High $117.49 | Facility | None | $46.77 | $70.79 | $117.49 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $120.23 | Professional | None | $60.26 | $60.26 | $120.23 |
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 $57.54 Median $114.82 Typical High $177.83 | Professional | None | $57.54 | $114.82 | $177.83 |
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 $54.95 Median $102.33 Typical High $190.55 | Professional | None | $54.95 | $102.33 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $97.72 Typical High $141.25 | Professional | None | $38.90 | $97.72 | $141.25 |
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 $27.54 Median $40.74 Typical High $56.23 | Professional | 52 · Reduced service | $27.54 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.22 Typical High $22.39 | Professional | 53 · Discontinued | $10.96 | $16.22 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.30 Typical High $16.60 | Professional | 55 · Aftercare only | $8.13 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.13 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.50 | $8.13 | $11.22 |
Where Washington sits
The same service costs 3.9 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· 7th of 51
$117
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.