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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $64.57 | Professional | None | $46.77 | $58.88 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Facility | None | $24.55 | $24.55 | $28.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $331.13 | Professional | None | $66.07 | $95.50 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $102.33 | Professional | None | $54.95 | $67.61 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $120.23 | Professional | None | $70.79 | $85.11 | $120.23 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $52.48 Typical High $83.18 | Professional | None | $13.80 | $52.48 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $104.71 | Facility | None | $61.66 | $81.28 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $70.79 Typical High $70.79 | Facility | None | $48.98 | $70.79 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | None | $46.77 | $46.77 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $107.15 | Professional | None | $63.10 | $70.79 | $107.15 |
United Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $117.49 | Professional | None | $57.54 | $75.86 | $117.49 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $81.28 | Professional | None | $37.15 | $53.70 | $81.28 |
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 $20.89 Median $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $20.89 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $8.71 Typical High $9.55 | Professional | 55 · Aftercare only | $6.31 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.89 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.17 | $5.89 | $6.46 |
Where Washington sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 18th of 51
$58.88
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.