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 $22.91 Median $27.54 Typical High $28.84 | Facility | None | $22.91 | $27.54 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $38.90 | Professional | None | $16.98 | $27.54 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.80 Median $151.36 Typical High $309.03 | Facility | None | $13.80 | $151.36 | $309.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $35.48 Median $165.96 Typical High $223.87 | Professional | None | $35.48 | $165.96 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $45.71 Typical High $53.70 | Facility | None | $30.90 | $45.71 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $25.70 Typical High $36.31 | Professional | None | $11.75 | $25.70 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $60.26 | Professional | None | $20.89 | $28.84 | $60.26 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $17.38 | Professional | None | $10.96 | $13.80 | $17.38 |
Pacific Source Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $56.23 | Facility | None | $43.65 | $43.65 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $36.31 | Facility | None | $34.67 | $34.67 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | None | $29.51 | $29.51 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $302.00 | Facility | None | $104.71 | $154.88 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $56.23 | Professional | None | $30.20 | $44.67 | $56.23 |
United Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $309.03 | Facility | None | $154.88 | $204.17 | $309.03 |
United Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $47.86 | Professional | None | $12.88 | $16.60 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | None | $18.62 | $18.62 | $26.92 |
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 $8.51 Median $11.48 Typical High $13.80 | Professional | 52 · Reduced service | $8.51 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.57 Typical High $5.50 | Professional | 53 · Discontinued | $3.39 | $4.57 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.39 Typical High $4.07 | Professional | 55 · Aftercare only | $2.51 | $3.39 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.29 Typical High $2.75 | Professional | 56 · Pre-op care only | $1.70 | $2.29 | $2.75 |
Where Washington sits
The same service costs 4.5 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· 12th of 51
$36.31
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.