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 $102.33 Median $102.33 Typical High $173.78 | Facility | None | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $173.78 | Professional | None | $95.50 | $102.33 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $245.47 | Professional | None | $177.83 | $218.78 | $245.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $371.54 Typical High $758.58 | Facility | None | $46.77 | $371.54 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $1,071.52 | Professional | None | $70.79 | $134.90 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None | $63.10 | $95.50 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $302.00 | Professional | None | $100.00 | $158.49 | $302.00 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $204.17 | Professional | None | $81.28 | $120.23 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $251.19 | Facility | None | $141.25 | $239.88 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $169.82 | Facility | None | $128.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | None | $75.86 | $128.82 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $724.44 | Facility | None | $257.04 | $389.05 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $134.90 | Professional | None | $70.79 | $81.28 | $134.90 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $186.21 | Professional | None | $67.61 | $114.82 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $44.67 Typical High $89.13 | Professional | None | $27.54 | $44.67 | $89.13 |
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 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $87.10 | Professional | 52 · Reduced service | $48.98 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $26.30 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $17.38 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $17.38 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in North Carolina. 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· 16th of 51
$105
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.