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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | None | $13.49 | $13.49 | $17.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.78 Median $21.88 Typical High $24.55 | Facility | None | $17.78 | $21.88 | $24.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.89 Median $123.03 Typical High $181.97 | Professional | None | $20.89 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $16.98 | Facility | None | $15.85 | $15.85 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $13.49 | Professional | None | $10.00 | $13.49 | $13.49 |
Kaiser Permanente Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $43.65 | Facility | None | $22.91 | $28.84 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $45.71 | Professional | None | $21.88 | $29.51 | $45.71 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $20.42 | Professional | None | $16.60 | $18.20 | $20.42 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $23.99 | Facility | None | $21.38 | $23.44 | $23.99 |
Premera BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Premera BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $25.70 | Professional | None | $19.05 | $20.89 | $25.70 |
United Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $19.95 | Professional | None | $9.55 | $10.23 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $36.31 | Professional | None | $12.88 | $16.98 | $36.31 |
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 $2.04 Median $2.04 Typical High $2.57 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.74 |
Where Washington sits
The same service costs 2.3 times more in Hawaii than in Connecticut. 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· 9th of 51
$20.89
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.