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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.00 | Professional | None | $7.76 | $7.76 | $10.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.23 Median $12.59 Typical High $14.13 | Facility | None | $10.23 | $12.59 | $14.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.02 Median $70.79 Typical High $104.71 | Professional | None | $12.02 | $70.79 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.91 | Facility | None | $8.32 | $8.32 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Kaiser Permanente Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $25.12 | Facility | None | $13.18 | $16.60 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $26.30 | Professional | None | $12.59 | $16.98 | $26.30 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $11.75 | Professional | None | $9.55 | $10.47 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $13.80 | Facility | None | $12.30 | $13.49 | $13.80 |
Premera BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Premera BCBS Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $14.79 | Professional | None | $10.96 | $12.02 | $14.79 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $11.48 | Professional | None | $5.50 | $5.89 | $11.48 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $20.89 | Professional | None | $7.24 | $9.77 | $20.89 |
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 $1.17 Median $1.17 Typical High $1.48 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $1.00 |
Where Washington sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 11th of 51
$12.02
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.