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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Facility | None | $19.50 | $19.50 | $23.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.88 Median $128.82 Typical High $194.98 | Professional | None | $21.88 | $128.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $61.66 | Professional | None | $24.55 | $32.36 | $61.66 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $33.88 | Professional | None | $19.50 | $24.55 | $33.88 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $25.12 Typical High $28.18 | Facility | None | $24.55 | $25.12 | $28.18 |
Pacific Source Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $47.86 | Facility | None | $20.89 | $23.44 | $47.86 |
Premera BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $26.92 | Professional | None | $20.89 | $24.55 | $26.92 |
United Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $24.55 | Professional | None | $11.75 | $13.18 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $38.90 | Professional | None | $12.88 | $21.88 | $38.90 |
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 $7.41 Median $7.41 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | 55 · Aftercare only | $2.24 | $2.24 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.51 | $1.51 | $1.82 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in Kentucky. 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· 15th of 51
$20.89
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.