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 $1.62 Median $1.62 Typical High $2.57 | Facility | None | $1.62 | $1.62 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $2.14 | Professional | None | $1.62 | $1.62 | $2.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.45 Median $2.95 Typical High $3.31 | Facility | None | $2.45 | $2.95 | $3.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.51 Median $18.20 Typical High $25.70 | Professional | None | $2.51 | $18.20 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.19 | Facility | None | $1.82 | $2.04 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.75 Median $3.47 Typical High $5.25 | Facility | None | $2.75 | $3.47 | $5.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.63 Median $3.55 Typical High $6.46 | Professional | None | $2.63 | $3.55 | $6.46 |
Molina Setting Professional Modifier None Typical Low $2.00 Median $2.19 Typical High $2.45 | Professional | None | $2.00 | $2.19 | $2.45 |
Pacific Source Setting Facility Modifier None Typical Low $2.57 Median $2.82 Typical High $2.88 | Facility | None | $2.57 | $2.82 | $2.88 |
Premera BCBS Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Premera BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.82 | Professional | None | $2.40 | $2.40 | $2.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $3.09 | Professional | None | $2.29 | $2.51 | $3.09 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.45 Typical High $2.82 | Professional | None | $1.32 | $1.45 | $2.82 |
Wellpoint Setting Professional Modifier None Typical Low $1.82 Median $2.04 Typical High $4.37 | Professional | None | $1.82 | $2.04 | $4.37 |
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 $0.25 Median $0.25 Typical High $0.32 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.21 |
Where Washington sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 14th of 51
$2.51
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.