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 $199.53 Median $229.09 Typical High $269.15 | Facility | None | $199.53 | $229.09 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | None | $186.21 | $229.09 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $398.11 | Professional | None | $331.13 | $338.84 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $457.09 | Facility | None | $134.90 | $316.23 | $457.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $354.81 | Professional | None | $181.97 | $239.88 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $426.58 | Professional | None | $165.96 | $251.19 | $426.58 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $190.55 | Professional | None | $120.23 | $151.36 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $354.81 Typical High $416.87 | Facility | None | $169.82 | $354.81 | $416.87 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $457.09 | Facility | None | $295.12 | $323.59 | $457.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
United Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $436.52 | Professional | None | $223.87 | $288.40 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $371.54 | Professional | None | $181.97 | $213.80 | $371.54 |
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 $100.00 Median $100.00 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $23.99 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 25 · Same-day visit | $331.13 | $331.13 | $338.84 |
Where Washington sits
The same service costs 2.4 times more in Alaska than in Alabama. 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
$229
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.