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 $109.65 Median $112.20 Typical High $186.21 | Facility | None | $109.65 | $112.20 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $151.36 | Professional | None | $109.65 | $112.20 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $190.55 | Professional | None | $74.13 | $112.20 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $169.82 Typical High $239.88 | Facility | None | $54.95 | $169.82 | $239.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $724.44 | Professional | None | $114.82 | $154.88 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $194.98 | Professional | None | $89.13 | $120.23 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $218.78 | Professional | None | $72.44 | $114.82 | $218.78 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $338.84 | Professional | None | $66.07 | $109.65 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $229.09 | Facility | None | $112.20 | $223.87 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $165.96 | Professional | None | $120.23 | $165.96 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $239.88 | Facility | None | $158.49 | $173.78 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $199.53 | Professional | None | $114.82 | $154.88 | $199.53 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $218.78 | Professional | None | $102.33 | $138.04 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $173.78 | Professional | None | $74.13 | $123.03 | $173.78 |
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 $54.95 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $22.91 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.22 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.96 | $11.22 | $15.14 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $102.33 Median $114.82 Typical High $162.18 | Professional | 25 · Same-day visit | $102.33 | $114.82 | $162.18 |
Where Washington sits
The same service costs 2.7 times more in Alaska than in Washington, DC. 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
$123
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.