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 $125.89 Median $125.89 Typical High $173.78 | Facility | None | $125.89 | $125.89 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $173.78 | Professional | None | $112.20 | $125.89 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Facility | None | $57.54 | $57.54 | $69.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $1,000.00 | Professional | None | $128.82 | $173.78 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $158.49 | Professional | None | $81.28 | $104.71 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $302.00 | Professional | None | $123.03 | $181.97 | $302.00 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $275.42 | Professional | None | $109.65 | $162.18 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $245.47 | Facility | None | $144.54 | $239.88 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | None | $125.89 | $169.82 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $218.78 | Professional | None | $128.82 | $173.78 | $218.78 |
United Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $199.53 | Professional | None | $117.49 | $154.88 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $57.54 Median $63.10 Typical High $87.10 | Professional | 52 · Reduced service | $57.54 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $25.70 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.59 Typical High $17.38 | Professional | 56 · Pre-op care only | $11.48 | $12.59 | $17.38 |
Where Washington sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 10th of 51
$151
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.