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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.13 | Professional | None | $6.46 | $6.46 | $8.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $10.47 Typical High $11.75 | Facility | None | $8.51 | $10.47 | $11.75 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.00 Median $57.54 Typical High $87.10 | Professional | None | $10.00 | $57.54 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $7.59 | Facility | None | $6.92 | $6.92 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Kaiser Permanente Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $20.42 | Facility | None | $10.96 | $13.80 | $20.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $21.88 | Professional | None | $10.47 | $14.13 | $21.88 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $9.55 | Professional | None | $7.94 | $8.71 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $11.48 | Facility | None | $10.23 | $11.22 | $11.48 |
Premera BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | None | $9.55 | $9.55 | $10.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $12.30 | Professional | None | $9.12 | $10.00 | $12.30 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $9.55 | Professional | None | $4.47 | $4.79 | $9.55 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $17.38 | Professional | None | $6.03 | $8.13 | $17.38 |
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 $0.98 Median $0.98 Typical High $1.23 | Professional | 55 · Aftercare only | $0.98 | $0.98 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.81 |
Where Washington sits
The same service costs 2.1 times more in Idaho than in Colorado. 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
$10.00
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.