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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | None | $12.02 | $12.02 | $15.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $21.38 | Facility | None | $15.49 | $19.50 | $21.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $107.15 Typical High $162.18 | Professional | None | $18.20 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $14.79 | Facility | None | $13.80 | $13.80 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | None | $8.71 | $11.75 | $11.75 |
Kaiser Permanente Setting Facility Modifier None Typical Low $19.95 Median $25.70 Typical High $38.02 | Facility | None | $19.95 | $25.70 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $39.81 | Professional | None | $19.05 | $25.70 | $39.81 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | None | $14.45 | $16.22 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $20.89 | Facility | None | $18.62 | $20.42 | $20.89 |
Premera BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $22.39 | Professional | None | $16.60 | $18.20 | $22.39 |
United Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $17.38 | Professional | None | $8.32 | $8.91 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $32.36 | Professional | None | $11.22 | $15.14 | $32.36 |
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 $1.78 Median $1.78 Typical High $2.29 | Professional | 55 · Aftercare only | $1.78 | $1.78 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.20 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.20 | $1.20 | $1.51 |
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
$18.20
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.