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 $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.24 | Professional | None | $1.74 | $1.74 | $2.24 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.24 Median $2.88 Typical High $3.24 | Facility | None | $2.24 | $2.88 | $3.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.69 Median $18.20 Typical High $23.44 | Professional | None | $2.69 | $18.20 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $1.86 Typical High $2.29 | Facility | None | $1.62 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.95 Median $3.80 Typical High $5.62 | Facility | None | $2.95 | $3.80 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $6.17 | Professional | None | $2.82 | $3.80 | $6.17 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.34 | Professional | None | $2.14 | $2.14 | $2.34 |
Pacific Source Setting Facility Modifier None Typical Low $2.45 Median $3.02 Typical High $3.09 | Facility | None | $2.45 | $3.02 | $3.09 |
Premera BCBS Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Premera BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | None | $2.57 | $2.57 | $3.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.45 Median $2.69 Typical High $3.31 | Professional | None | $2.45 | $2.69 | $3.31 |
United Setting Professional Modifier None Typical Low $1.23 Median $1.32 Typical High $2.57 | Professional | None | $1.23 | $1.32 | $2.57 |
Wellpoint Setting Professional Modifier None Typical Low $1.38 Median $2.19 Typical High $4.79 | Professional | None | $1.38 | $2.19 | $4.79 |
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 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.33 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.22 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | KX · Policy requirements met | $2.19 | $2.19 | $2.19 |
Where Washington sits
The same service costs 3.0 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· 13th of 51
$2.69
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.