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 $91.20 Typical High $151.36 | Facility | None | $91.20 | $91.20 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $95.50 | Professional | None | $70.79 | $91.20 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $117.49 | Professional | None | $61.66 | $114.82 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $1,949.84 Typical High $3,981.07 | Facility | None | $45.71 | $1,949.84 | $3,981.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $97.72 Median $831.76 Typical High $851.14 | Professional | None | $97.72 | $831.76 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $181.97 | Professional | None | $79.43 | $85.11 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $173.78 | Professional | None | $64.57 | $107.15 | $173.78 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $51.29 Typical High $85.11 | Professional | None | $28.84 | $51.29 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $147.91 | Facility | None | $83.18 | $138.04 | $147.91 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,445.44 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | None | $97.72 | $97.72 | $158.49 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $4,073.80 | Facility | None | $2,041.74 | $2,691.53 | $4,073.80 |
United Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | None | $81.28 | $102.33 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $125.89 | Professional | None | $61.66 | $83.18 | $125.89 |
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 $37.15 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $10.96 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.41 | $9.12 | $9.12 |
Where Washington sits
The same service costs 3.2 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· 27th of 51
$81.28
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.