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 $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | None | $7.08 | $7.08 | $9.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $12.88 | Facility | None | $9.33 | $11.75 | $12.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.96 Median $64.57 Typical High $95.50 | Professional | None | $10.96 | $64.57 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Kaiser Permanente Setting Facility Modifier None Typical Low $12.02 Median $15.49 Typical High $22.91 | Facility | None | $12.02 | $15.49 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $23.99 | Professional | None | $11.48 | $15.49 | $23.99 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $9.77 Typical High $10.72 | Professional | None | $8.71 | $9.77 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $12.59 | Facility | None | $11.22 | $12.30 | $12.59 |
Premera BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Premera BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $13.49 | Professional | None | $10.00 | $10.96 | $13.49 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.37 Typical High $10.47 | Professional | None | $5.01 | $5.37 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $19.50 | Professional | None | $6.76 | $9.12 | $19.50 |
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 $1.07 Median $1.07 Typical High $1.35 | Professional | 55 · Aftercare only | $1.07 | $1.07 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $0.91 |
Where Washington sits
The same service costs 2.1 times more in Idaho 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
$10.96
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.