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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | None | $14.45 | $14.79 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $23.99 | Professional | None | $16.22 | $16.22 | $23.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.71 Median $10.47 Typical High $12.88 | Facility | None | $8.71 | $10.47 | $12.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $70.79 | Professional | None | $15.14 | $15.14 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $31.62 | Professional | None | $11.75 | $15.85 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $18.20 | Professional | None | $9.55 | $13.80 | $18.20 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $79.43 | Professional | None | $60.26 | $75.86 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $22.91 | Facility | None | $13.18 | $21.88 | $22.91 |
Premera BCBS Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $15.49 | Facility | None | $14.79 | $14.79 | $15.49 |
Premera BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | None | $15.14 | $15.14 | $22.91 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $35.48 | Professional | None | $13.80 | $18.20 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | None | $12.02 | $12.02 | $16.98 |
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 $7.24 Median $7.41 Typical High $7.41 | Professional | 52 · Reduced service | $7.24 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.48 Typical High $1.48 | Professional | 56 · Pre-op care only | $1.45 | $1.48 | $1.48 |
Where Washington sits
The same service costs 2.6 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· 15th of 51
$15.14
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.