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 $30.90 Median $41.69 Typical High $52.48 | Facility | None | $30.90 | $41.69 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | None | $30.90 | $33.88 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $77.62 Typical High $77.62 | Professional | None | $33.88 | $77.62 | $77.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.49 Median $57.54 Typical High $81.28 | Facility | None | $15.49 | $57.54 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $245.47 | Professional | None | $32.36 | $52.48 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $63.10 | Professional | None | $26.30 | $38.02 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $70.79 | Professional | None | $21.88 | $35.48 | $70.79 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $24.55 Typical High $36.31 | Professional | None | $14.45 | $24.55 | $36.31 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $77.62 | Facility | None | $58.88 | $66.07 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Facility | None | $51.29 | $51.29 | $56.23 |
Premera BCBS Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $56.23 | Professional | None | $34.67 | $56.23 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $53.70 Median $57.54 Typical High $81.28 | Facility | None | $53.70 | $57.54 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $67.61 | Professional | None | $32.36 | $50.12 | $67.61 |
United Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $69.18 | Professional | None | $30.20 | $45.71 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $40.74 Typical High $57.54 | Professional | None | $20.89 | $40.74 | $57.54 |
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 $15.49 Median $16.98 Typical High $26.30 | Professional | 52 · Reduced service | $15.49 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.13 Typical High $7.76 | Professional | 55 · Aftercare only | $4.68 | $5.13 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.39 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.09 | $3.39 | $5.25 |
Where Washington sits
The same service costs 2.8 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· 22nd of 51
$36.31
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.