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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | None | $11.75 | $11.75 | $12.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $19.95 | Facility | None | $15.14 | $18.20 | $19.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $17.78 Median $114.82 Typical High $144.54 | Professional | None | $17.78 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $13.18 | Facility | None | $8.91 | $12.30 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Kaiser Permanente Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $37.15 | Facility | None | $19.95 | $25.12 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $39.81 | Professional | None | $19.95 | $25.70 | $39.81 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $17.38 | Professional | None | $14.45 | $15.85 | $17.38 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $17.38 Typical High $20.42 | Facility | None | $14.13 | $17.38 | $20.42 |
Premera BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | None | $17.38 | $17.38 | $19.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $19.95 | Professional | None | $16.60 | $17.78 | $19.95 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.71 Typical High $17.38 | Professional | None | $8.13 | $8.71 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $14.79 Typical High $31.62 | Professional | None | $9.33 | $14.79 | $31.62 |
2 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 55 · Aftercare only Typical Low $1.78 Median $1.78 Typical High $1.95 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.17 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.17 | $1.17 | $1.29 |
Where Washington sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 10th of 51
$17.78
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.