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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | None | $87.10 | $93.33 | $93.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $85.11 | Facility | None | $54.95 | $64.57 | $85.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $407.38 | Professional | None | $87.10 | $87.10 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $208.93 | Professional | None | $53.70 | $77.62 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $85.11 | Professional | None | $42.66 | $67.61 | $85.11 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $151.36 | Professional | None | $51.29 | $93.33 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $134.90 | Facility | None | $87.10 | $131.83 | $134.90 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $95.50 | Facility | None | $85.11 | $85.11 | $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 Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $141.25 | Professional | None | $87.10 | $87.10 | $141.25 |
United Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $213.80 | Professional | None | $74.13 | $93.33 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | None | $75.86 | $75.86 | $107.15 |
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 $43.65 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $13.18 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.71 | $9.33 | $9.33 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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
$93.33
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.