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 $91.20 Median $97.72 Typical High $302.00 | Facility | None | $91.20 | $97.72 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $97.72 | Professional | None | $67.61 | $91.20 | $97.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $478.63 Typical High $977.24 | Facility | None | $54.95 | $478.63 | $977.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $588.84 Typical High $794.33 | Professional | None | $128.82 | $588.84 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $218.78 | Facility | None | $125.89 | $181.97 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $128.82 | Professional | None | $46.77 | $95.50 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $223.87 | Professional | None | $81.28 | $104.71 | $223.87 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $169.82 Typical High $295.12 | Professional | None | $28.84 | $169.82 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $75.86 Median $190.55 Typical High $190.55 | Facility | None | $75.86 | $190.55 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $128.82 | Facility | None | $125.89 | $125.89 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | None | $120.23 | $120.23 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $954.99 | Facility | None | $331.13 | $489.78 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $213.80 | Professional | None | $120.23 | $173.78 | $213.80 |
United Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Facility | None | $501.19 | $660.69 | $1,023.29 |
United Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $194.98 | Professional | None | $53.70 | $60.26 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None | $74.13 | $74.13 | $95.50 |
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 $33.88 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $33.88 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.80 Typical High $14.79 | Professional | 55 · Aftercare only | $10.23 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.76 | $9.12 | $9.77 |
Where Washington sits
The same service costs 5.0 times more in Alaska than in Alabama. 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
$129
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.