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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | None | $30.90 | $30.90 | $43.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $61.66 | Facility | None | $46.77 | $52.48 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $46.77 Median $331.13 Typical High $416.87 | Professional | None | $46.77 | $331.13 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $40.74 | Facility | None | $33.88 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Kaiser Permanente Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $97.72 | Facility | None | $52.48 | $66.07 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $123.03 | Professional | None | $52.48 | $67.61 | $123.03 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | None | $37.15 | $37.15 | $45.71 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $58.88 | Facility | None | $46.77 | $57.54 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $60.26 | Professional | None | $44.67 | $46.77 | $60.26 |
United Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $52.48 | Professional | None | $25.12 | $26.92 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $83.18 | Professional | None | $26.92 | $38.90 | $83.18 |
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 $4.57 Median $4.57 Typical High $6.46 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $4.37 |
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· 18th of 51
$46.77
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.