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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | None | $17.38 | $19.50 | $19.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.96 Median $117.49 Typical High $229.09 | Facility | None | $10.96 | $117.49 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $1,949.84 | Professional | None | $18.20 | $18.20 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $17.78 | Professional | None | $10.47 | $11.48 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $10.00 | Professional | None | $9.12 | $9.55 | $10.00 |
Pacific Source Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $79.43 | Facility | None | $22.91 | $25.70 | $79.43 |
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 $91.20 Median $120.23 Typical High $223.87 | Facility | None | $91.20 | $120.23 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $27.54 | Professional | None | $18.20 | $18.20 | $27.54 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $30.90 | Professional | None | $15.85 | $18.20 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
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 $8.71 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $8.71 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.55 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.63 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.78 | $1.95 | $1.95 |
Where Washington sits
The same service costs 43.7 times more in Hawaii 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· 17th of 51
$18.20
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.