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 $1.32 Median $1.32 Typical High $1.32 | Facility | None | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.45 | Professional | None | $1.32 | $1.32 | $1.45 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.74 Median $2.09 Typical High $2.29 | Facility | None | $1.74 | $2.09 | $2.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.04 Median $12.02 Typical High $17.78 | Professional | None | $2.04 | $12.02 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.74 | Facility | None | $1.41 | $1.41 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2.24 Median $2.82 Typical High $4.27 | Facility | None | $2.24 | $2.82 | $4.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.24 Median $2.88 Typical High $4.57 | Professional | None | $2.24 | $2.88 | $4.57 |
Molina Setting Professional Modifier None Typical Low $1.62 Median $1.82 Typical High $2.00 | Professional | None | $1.62 | $1.82 | $2.00 |
Pacific Source Setting Facility Modifier None Typical Low $1.82 Median $1.95 Typical High $2.34 | Facility | None | $1.82 | $1.95 | $2.34 |
Premera BCBS Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Premera BCBS Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | None | $1.95 | $1.95 | $2.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.86 Median $2.04 Typical High $2.24 | Professional | None | $1.86 | $2.04 | $2.24 |
United Setting Professional Modifier None Typical Low $0.93 Median $1.00 Typical High $1.95 | Professional | None | $0.93 | $1.00 | $1.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.26 Median $1.66 Typical High $3.63 | Professional | None | $1.26 | $1.66 | $3.63 |
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 $0.20 Median $0.20 Typical High $0.22 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.15 |
Where Washington sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 10th of 51
$2.04
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.