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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $26.92 | Professional | None | $25.12 | $26.30 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $31.62 Typical High $42.66 | Facility | None | $16.22 | $31.62 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $61.66 | Professional | None | $27.54 | $45.71 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $61.66 | Professional | None | $21.38 | $28.18 | $61.66 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Facility | None | $26.92 | $26.92 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Regence BlueShield Setting Facility Modifier None Typical Low $29.51 Median $31.62 Typical High $42.66 | Facility | None | $29.51 | $31.62 | $42.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $61.66 | Professional | None | $27.54 | $45.71 | $61.66 |
United Setting Professional Modifier None Typical Low $22.39 Median $33.88 Typical High $67.61 | Professional | None | $22.39 | $33.88 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $12.59 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $5.01 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.72 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.51 | $2.63 | $2.63 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in New York. 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· 21st of 51
$29.51
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.