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 $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.68 | Professional | None | $3.63 | $3.63 | $4.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.79 Median $5.89 Typical High $6.61 | Facility | None | $4.79 | $5.89 | $6.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.62 Median $33.11 Typical High $48.98 | Professional | None | $5.62 | $33.11 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $4.17 | Facility | None | $3.89 | $3.89 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Kaiser Permanente Setting Facility Modifier None Typical Low $6.17 Median $7.76 Typical High $11.75 | Facility | None | $6.17 | $7.76 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $12.30 | Professional | None | $5.89 | $7.94 | $12.30 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $5.50 | Professional | None | $4.47 | $4.90 | $5.50 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $6.31 Typical High $6.46 | Facility | None | $5.75 | $6.31 | $6.46 |
Premera BCBS Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Premera BCBS Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.31 | Professional | None | $5.37 | $5.37 | $6.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $6.92 | Professional | None | $5.13 | $5.62 | $6.92 |
United Setting Professional Modifier None Typical Low $2.51 Median $2.75 Typical High $5.37 | Professional | None | $2.51 | $2.75 | $5.37 |
Wellpoint Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $10.00 | Professional | None | $3.24 | $4.57 | $10.00 |
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 $0.55 Median $0.55 Typical High $0.71 | Professional | 55 · Aftercare only | $0.55 | $0.55 | $0.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.37 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.37 | $0.37 | $0.47 |
Where Washington sits
The same service costs 2.6 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
$5.62
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.