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 $104.71 Median $114.82 Typical High $141.25 | Facility | None | $104.71 | $114.82 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $173.78 | Professional | None | $83.18 | $114.82 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $123.03 | Facility | None | $89.13 | $104.71 | $123.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $389.05 | Professional | None | $138.04 | $281.84 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $354.81 | Professional | None | $125.89 | $138.04 | $354.81 |
Kaiser Permanente Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $213.80 Typical High $316.23 | Professional | None | $33.88 | $213.80 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $257.04 | Facility | None | $125.89 | $204.17 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $169.82 | Facility | None | $134.90 | $134.90 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $363.08 | Professional | None | $138.04 | $281.84 | $363.08 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $398.11 | Professional | None | $104.71 | $144.54 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None | $162.18 | $190.55 | $239.88 |
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 $57.54 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $12.59 |
Where Washington sits
The same service costs 2.9 times more in Alaska than in Ohio. 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· 7th of 51
$170
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.