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 $75.86 Median $75.86 Typical High $141.25 | Facility | None | $75.86 | $75.86 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $141.25 | Professional | None | $74.13 | $81.28 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $38.02 Typical High $70.79 | Professional | 52 · Reduced service | $37.15 | $38.02 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $28.18 | Professional | 53 · Discontinued | $14.79 | $15.14 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.48 Typical High $21.38 | Professional | 55 · Aftercare only | $11.22 | $11.48 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.59 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.41 | $7.59 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $36.31 Median $151.36 Typical High $204.17 | Facility | None | $36.31 | $151.36 | $204.17 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $851.14 | Professional | None | $79.43 | $138.04 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $114.82 | Professional | None | $46.77 | $75.86 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $239.88 | Professional | None | $74.13 | $128.82 | $239.88 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $61.66 Typical High $112.20 | Professional | None | $28.84 | $61.66 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $199.53 | Facility | None | $109.65 | $194.98 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $204.17 | Facility | None | $138.04 | $151.36 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $138.04 | Professional | None | $79.43 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $147.91 | Professional | None | $52.48 | $89.13 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Washington sits
The same service costs 3.0 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· 13th of 51
$91.20
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.