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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | None | $15.14 | $15.14 | $16.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.76 Median $1,230.27 Typical High $2,398.83 | Facility | None | $7.76 | $1,230.27 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $660.69 | Professional | None | $16.22 | $30.20 | $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 $14.79 Median $16.98 Typical High $34.67 | Professional | None | $14.79 | $16.98 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $478.63 | Professional | None | $18.20 | $30.20 | $478.63 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $14.79 | Professional | None | $5.89 | $7.41 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $23.99 | Facility | None | $19.05 | $22.91 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $15.85 Median $208.93 Typical High $331.13 | Facility | None | $15.85 | $208.93 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
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 $16.22 Median $22.91 Typical High $32.36 | Professional | None | $16.22 | $22.91 | $32.36 |
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 $14.79 Median $20.42 Typical High $36.31 | Professional | None | $14.79 | $20.42 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $20.89 | Professional | None | $13.80 | $14.45 | $20.89 |
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 $7.59 Median $7.59 Typical High $8.51 | Professional | 52 · Reduced service | $7.59 | $7.59 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.39 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $2.57 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.51 | $1.51 | $1.70 |
Where Washington sits
The same service costs 12.3 times more in Florida 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· 18th of 51
$21.88
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.