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 $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | None | $4.57 | $4.57 | $5.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.89 Median $7.41 Typical High $8.13 | Facility | None | $5.89 | $7.41 | $8.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.92 Median $40.74 Typical High $61.66 | Professional | None | $6.92 | $40.74 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Kaiser Permanente Setting Facility Modifier None Typical Low $7.59 Median $9.77 Typical High $14.45 | Facility | None | $7.59 | $9.77 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $15.49 | Professional | None | $7.41 | $9.77 | $15.49 |
Molina Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $6.76 | Professional | None | $5.50 | $6.17 | $6.76 |
Pacific Source Setting Facility Modifier None Typical Low $7.24 Median $7.76 Typical High $7.94 | Facility | None | $7.24 | $7.76 | $7.94 |
Premera BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Premera BCBS Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | None | $6.61 | $6.61 | $7.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.31 Median $6.92 Typical High $8.51 | Professional | None | $6.31 | $6.92 | $8.51 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.39 Typical High $6.61 | Professional | None | $3.16 | $3.39 | $6.61 |
Wellpoint Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $12.30 | Professional | None | $4.27 | $5.75 | $12.30 |
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 $0.68 Median $0.68 Typical High $0.85 | Professional | 55 · Aftercare only | $0.68 | $0.68 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.45 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.45 | $0.45 | $0.58 |
Where Washington sits
The same service costs 2.3 times more in Kansas than in Utah. 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
$6.92
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.