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 $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.63 | Professional | None | $2.82 | $2.82 | $3.63 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.72 Median $4.68 Typical High $5.25 | Facility | None | $3.72 | $4.68 | $5.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.37 Median $25.70 Typical High $38.90 | Professional | None | $4.37 | $25.70 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.31 | Facility | None | $3.09 | $3.09 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $9.12 | Facility | None | $4.79 | $6.03 | $9.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.57 Median $6.17 Typical High $9.77 | Professional | None | $4.57 | $6.17 | $9.77 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $4.27 | Professional | None | $3.47 | $3.89 | $4.27 |
Pacific Source Setting Facility Modifier None Typical Low $4.47 Median $4.90 Typical High $5.01 | Facility | None | $4.47 | $4.90 | $5.01 |
Premera BCBS Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Premera BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | None | $4.17 | $4.17 | $4.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $5.37 | Professional | None | $3.98 | $4.37 | $5.37 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $4.27 | Professional | None | $2.04 | $2.14 | $4.27 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $3.55 Typical High $7.76 | Professional | None | $2.69 | $3.55 | $7.76 |
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 $0.43 Median $0.43 Typical High $0.55 | Professional | 55 · Aftercare only | $0.43 | $0.43 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.37 |
Where Washington sits
The same service costs 3.2 times more in Kansas than in Missouri. 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
$4.37
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.