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 $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | None | $4.79 | $4.79 | $6.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.17 Median $7.76 Typical High $8.51 | Facility | None | $6.17 | $7.76 | $8.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.24 Median $42.66 Typical High $64.57 | Professional | None | $7.24 | $42.66 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Kaiser Permanente Setting Facility Modifier None Typical Low $7.94 Median $10.23 Typical High $15.14 | Facility | None | $7.94 | $10.23 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $16.22 | Professional | None | $7.76 | $10.47 | $16.22 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $7.08 | Professional | None | $5.75 | $6.46 | $7.08 |
Pacific Source Setting Facility Modifier None Typical Low $7.59 Median $8.13 Typical High $8.32 | Facility | None | $7.59 | $8.13 | $8.32 |
Pacific Source Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Premera BCBS Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Premera BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $8.91 | Professional | None | $6.61 | $7.24 | $8.91 |
United Setting Professional Modifier None Typical Low $3.31 Median $3.55 Typical High $6.92 | Professional | None | $3.31 | $3.55 | $6.92 |
Wellpoint Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $12.88 | Professional | None | $4.47 | $6.03 | $12.88 |
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 $0.71 Median $0.71 Typical High $0.89 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $0.60 |
Where Washington sits
The same service costs 2.1 times more in Hawaii 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· 12th of 51
$7.24
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.