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 $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.27 | Professional | None | $3.31 | $3.31 | $4.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.47 Median $5.37 Typical High $6.03 | Facility | None | $4.47 | $5.37 | $6.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.13 Median $29.51 Typical High $44.67 | Professional | None | $5.13 | $29.51 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $4.07 | Facility | None | $3.80 | $3.80 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.24 | Professional | None | $2.45 | $3.24 | $3.24 |
Kaiser Permanente Setting Facility Modifier None Typical Low $5.62 Median $7.08 Typical High $10.72 | Facility | None | $5.62 | $7.08 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.37 Median $7.24 Typical High $11.75 | Professional | None | $5.37 | $7.24 | $11.75 |
Molina Setting Professional Modifier None Typical Low $4.07 Median $4.47 Typical High $4.90 | Professional | None | $4.07 | $4.47 | $4.90 |
Pacific Source Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $5.89 | Facility | None | $5.25 | $5.75 | $5.89 |
Premera BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Premera BCBS Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | None | $4.90 | $4.90 | $5.75 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $6.31 | Professional | None | $4.68 | $5.13 | $6.31 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.45 Typical High $4.90 | Professional | None | $2.29 | $2.45 | $4.90 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $4.17 Typical High $8.91 | Professional | None | $3.09 | $4.17 | $8.91 |
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 $0.50 Median $0.50 Typical High $0.63 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $0.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.33 Typical High $0.42 | Professional | 56 · Pre-op care only | $0.33 | $0.33 | $0.42 |
Where Washington sits
The same service costs 3.2 times more in Kansas 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· 11th of 51
$5.13
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.