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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.55 | Professional | None | $7.59 | $7.59 | $9.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $13.80 | Facility | None | $10.00 | $12.30 | $13.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11.75 Median $67.61 Typical High $102.33 | Professional | None | $11.75 | $67.61 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.71 | Facility | None | $8.13 | $8.13 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Kaiser Permanente Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $23.99 | Facility | None | $12.88 | $16.22 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $25.70 | Professional | None | $12.30 | $16.60 | $25.70 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $11.22 | Professional | None | $9.33 | $10.23 | $11.22 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $13.18 Typical High $13.49 | Facility | None | $12.02 | $13.18 | $13.49 |
Pacific Source Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Premera BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Premera BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $12.88 | Professional | None | $11.22 | $11.22 | $12.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $14.45 | Professional | None | $10.72 | $11.75 | $14.45 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $11.22 | Professional | None | $5.37 | $5.75 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $20.42 | Professional | None | $7.08 | $9.55 | $20.42 |
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 $1.12 Median $1.12 Typical High $1.45 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.98 | Professional | 56 · Pre-op care only | $0.76 | $0.76 | $0.98 |
Where Washington sits
The same service costs 5.4 times more in Kansas 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· 12th of 51
$11.75
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.