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 $74.13 Median $79.43 Typical High $97.72 | Facility | None | $74.13 | $79.43 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $117.49 | Professional | None | $60.26 | $79.43 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $77.62 | Facility | None | $54.95 | $66.07 | $77.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $245.47 | Professional | None | $95.50 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $218.78 | Professional | None | $85.11 | $95.50 | $218.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $158.49 Typical High $239.88 | Professional | None | $25.70 | $158.49 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $158.49 | Facility | None | $83.18 | $138.04 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $229.09 | Professional | None | $95.50 | $173.78 | $229.09 |
United Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $251.19 | Professional | None | $81.28 | $102.33 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $151.36 | Professional | None | $100.00 | $117.49 | $151.36 |
3 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 $39.81 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $13.18 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.71 |
Where Washington sits
The same service costs 2.6 times more in Alaska than in Utah. 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· 9th of 51
$105
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.