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 $81.28 | Facility | None | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $81.28 | Professional | None | $54.95 | $64.57 | $81.28 |
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 $60.26 Median $114.82 Typical High $575.44 | Professional | None | $60.26 | $114.82 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $100.00 | Facility | None | $48.98 | $61.66 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $123.03 | Professional | None | $52.48 | $75.86 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $144.54 | Professional | None | $45.71 | $77.62 | $144.54 |
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 $91.20 Median $123.03 Typical High $128.82 | Facility | None | $91.20 | $123.03 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $75.86 | Facility | None | $30.90 | $41.69 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | None | $61.66 | $61.66 | $91.20 |
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 $60.26 Median $87.10 Typical High $131.83 | Professional | None | $60.26 | $87.10 | $131.83 |
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 $53.70 Median $81.28 Typical High $144.54 | Professional | None | $53.70 | $81.28 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $97.72 | Professional | None | $38.90 | $69.18 | $97.72 |
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 $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $27.54 | $30.20 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.02 Typical High $16.22 | Professional | 53 · Discontinued | $10.96 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.12 Typical High $12.30 | Professional | 55 · Aftercare only | $8.32 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.03 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.50 | $6.03 | $8.13 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 11th of 51
$87.10
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.