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 $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.91 | Professional | None | $7.08 | $7.08 | $8.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.12 Median $11.22 Typical High $12.59 | Facility | None | $9.12 | $11.22 | $12.59 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.72 Median $63.10 Typical High $95.50 | Professional | None | $10.72 | $63.10 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $6.31 | Facility | None | $5.89 | $5.89 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | None | $5.01 | $5.13 | $5.13 |
Kaiser Permanente Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $22.39 | Facility | None | $12.02 | $15.14 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $24.55 | Professional | None | $12.02 | $15.49 | $24.55 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $9.55 Typical High $10.47 | Professional | None | $8.51 | $9.55 | $10.47 |
Pacific Source Setting Facility Modifier None Typical Low $10.00 Median $11.22 Typical High $12.59 | Facility | None | $10.00 | $11.22 | $12.59 |
Pacific Source Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.02 | Professional | None | $10.23 | $10.23 | $12.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.23 Median $10.72 Typical High $13.49 | Professional | None | $10.23 | $10.72 | $13.49 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.25 Typical High $10.23 | Professional | None | $4.90 | $5.25 | $10.23 |
Wellpoint Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $19.05 | Professional | None | $5.37 | $8.91 | $19.05 |
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 $1.07 Median $1.07 Typical High $1.35 | Professional | 55 · Aftercare only | $1.07 | $1.07 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.71 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.71 | $0.71 | $0.89 |
Where Washington sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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· 7th of 51
$10.72
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.