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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $112.20 | Professional | None | $79.43 | $100.00 | $112.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $1,230.27 Typical High $2,398.83 | Facility | None | $51.29 | $1,230.27 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $660.69 | Professional | None | $107.15 | $199.53 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $575.44 Typical High $1,659.59 | Facility | None | $467.74 | $575.44 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $229.09 | Professional | None | $100.00 | $114.82 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $478.63 | Professional | None | $120.23 | $199.53 | $478.63 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $100.00 | Professional | None | $39.81 | $48.98 | $100.00 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $158.49 | Facility | None | $123.03 | $151.36 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $104.71 Median $208.93 Typical High $331.13 | Facility | None | $104.71 | $208.93 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,398.83 | Facility | None | $977.24 | $1,258.93 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $208.93 | Professional | None | $107.15 | $154.88 | $208.93 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,778.28 | Facility | None | $134.90 | $346.74 | $1,778.28 |
United Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $245.47 | Professional | None | $97.72 | $134.90 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $138.04 | Professional | None | $91.20 | $95.50 | $138.04 |
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 $50.12 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $11.22 |
Where Washington sits
The same service costs 4.5 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· 17th of 51
$138
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.