How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $181.97 Median $181.97 Typical High $190.55 | Facility | None | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $302.00 | Professional | None | $169.82 | $181.97 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $190.55 | Facility | None | $131.83 | $181.97 | $190.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $389.05 | Facility | None | $199.53 | $371.54 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $177.83 Typical High $295.12 | Professional | None | $2.69 | $177.83 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $512.86 | Facility | None | $416.87 | $512.86 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | None | $190.55 | $199.53 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $190.55 | Facility | None | $120.23 | $131.83 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $213.80 | Professional | None | $173.78 | $194.98 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | None | $144.54 | $169.82 | $169.82 |
3 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 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Ambetter Setting Professional Modifier SL · State-supplied vaccine Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | SL · State-supplied vaccine | $23.44 | $23.44 | $23.44 |
Where Washington sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 21st of 51
$200
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.