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 $128.82 Median $141.25 Typical High $169.82 | Facility | None | $128.82 | $141.25 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $169.82 | Professional | None | $114.82 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None | $114.82 | $134.90 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $141.25 | Facility | None | $100.00 | $120.23 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $331.13 | Professional | None | $114.82 | $151.36 | $331.13 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $251.19 | Professional | None | $83.18 | $104.71 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $251.19 | Facility | None | $144.54 | $245.47 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $354.81 | Professional | None | $147.91 | $190.55 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $275.42 | Professional | None | $131.83 | $131.83 | $275.42 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Where Washington sits
The same service costs 2.1 times more in Wisconsin 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· 17th of 51
$141
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.