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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $67.61 | Facility | None | $48.98 | $61.66 | $67.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $338.84 Typical High $512.86 | Professional | None | $57.54 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $42.66 | Facility | None | $39.81 | $39.81 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Kaiser Permanente Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $120.23 | Facility | None | $63.10 | $81.28 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $128.82 | Professional | None | $61.66 | $83.18 | $128.82 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $56.23 | Professional | None | $45.71 | $51.29 | $56.23 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $64.57 Typical High $66.07 | Facility | None | $60.26 | $64.57 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $70.79 | Professional | None | $52.48 | $57.54 | $70.79 |
United Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $54.95 | Professional | None | $26.30 | $28.18 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $102.33 | Professional | None | $33.11 | $47.86 | $102.33 |
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 $5.62 Median $5.62 Typical High $7.24 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $4.79 |
Where Washington sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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
$57.54
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.