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 $12.59 Median $12.59 Typical High $20.89 | Facility | None | $12.59 | $12.59 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | None | $12.59 | $12.59 | $15.85 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $22.39 | Facility | None | $16.60 | $19.95 | $22.39 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $169.82 | Professional | None | $19.50 | $112.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $14.45 | Facility | None | $9.55 | $13.49 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Kaiser Permanente Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $40.74 | Facility | None | $21.38 | $26.92 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $43.65 | Professional | None | $21.38 | $27.54 | $43.65 |
Molina Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $19.05 | Professional | None | $15.49 | $16.98 | $19.05 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $19.05 Typical High $22.39 | Facility | None | $17.78 | $19.05 | $22.39 |
Pacific Source Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Premera BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Premera BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $23.99 | Professional | None | $18.20 | $19.50 | $23.99 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $18.62 | Professional | None | $8.91 | $9.55 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $33.88 | Professional | None | $10.00 | $15.85 | $33.88 |
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 $1.91 Median $1.91 Typical High $2.40 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.26 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.26 | $1.26 | $1.58 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | KX · Policy requirements met | $15.85 | $15.85 | $15.85 |
Where Washington sits
The same service costs 2.8 times more in Hawaii than in Connecticut. 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
$19.50
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.