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 $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.55 | Professional | None | $2.82 | $2.82 | $3.55 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.63 Median $4.57 Typical High $5.01 | Facility | None | $3.63 | $4.57 | $5.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.27 Median $25.12 Typical High $38.02 | Professional | None | $4.27 | $25.12 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $8.91 | Facility | None | $4.79 | $6.03 | $8.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $10.23 | Professional | None | $4.79 | $6.17 | $10.23 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $4.17 | Professional | None | $3.39 | $3.80 | $4.17 |
Pacific Source Setting Facility Modifier None Typical Low $4.47 Median $4.79 Typical High $4.90 | Facility | None | $4.47 | $4.79 | $4.90 |
Pacific Source Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Premera BCBS Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Premera BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.89 Median $4.27 Typical High $5.25 | Professional | None | $3.89 | $4.27 | $5.25 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.09 Typical High $4.07 | Professional | None | $1.95 | $2.09 | $4.07 |
Wellpoint Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $7.59 | Professional | None | $2.51 | $3.55 | $7.59 |
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 $0.42 Median $0.42 Typical High $0.52 | Professional | 55 · Aftercare only | $0.42 | $0.42 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.36 |
Where Washington sits
The same service costs 2.1 times more in Montana than in Colorado. 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
$4.27
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.