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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | None | $19.95 | $19.95 | $21.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $34.67 | Facility | None | $25.70 | $30.90 | $34.67 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $30.90 Median $177.83 Typical High $263.03 | Professional | None | $30.90 | $177.83 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $22.91 | Facility | None | $12.59 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Kaiser Permanente Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $63.10 | Facility | None | $33.88 | $42.66 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | None | $33.88 | $43.65 | $69.18 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $29.51 | Professional | None | $24.55 | $26.92 | $29.51 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $29.51 Typical High $32.36 | Facility | None | $23.99 | $29.51 | $32.36 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | None | $29.51 | $29.51 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $33.88 | Professional | None | $28.18 | $30.90 | $33.88 |
United Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $29.51 | Professional | None | $13.80 | $15.14 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $53.70 | Professional | None | $15.85 | $25.12 | $53.70 |
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 $3.02 Median $3.02 Typical High $3.31 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $2.19 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 11th of 51
$30.90
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.