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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None | $60.26 | $60.26 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $1,230.27 Typical High $2,398.83 | Facility | None | $30.20 | $1,230.27 | $2,398.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $660.69 | Professional | None | $64.57 | $120.23 | $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 $58.88 Median $69.18 Typical High $138.04 | Professional | None | $58.88 | $69.18 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $478.63 | Professional | None | $70.79 | $117.49 | $478.63 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $58.88 | Professional | None | $23.44 | $29.51 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $95.50 | Facility | None | $69.18 | $91.20 | $95.50 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $208.93 Typical High $331.13 | Facility | None | $63.10 | $208.93 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
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 $64.57 Median $91.20 Typical High $128.82 | Professional | None | $64.57 | $91.20 | $128.82 |
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 $58.88 Median $81.28 Typical High $144.54 | Professional | None | $58.88 | $81.28 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $81.28 | Professional | None | $54.95 | $57.54 | $81.28 |
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 $30.20 Median $30.20 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.76 |
Where Washington sits
The same service costs 4.7 times more in Wisconsin 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· 14th 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.