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 $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.88 | Professional | None | $2.24 | $2.24 | $2.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.31 Median $3.80 Typical High $4.37 | Facility | None | $3.31 | $3.80 | $4.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.39 Median $22.91 Typical High $35.48 | Professional | None | $3.39 | $22.91 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.82 | Facility | None | $2.57 | $2.57 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.19 | Professional | None | $1.91 | $2.19 | $2.19 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3.80 Median $4.79 Typical High $7.08 | Facility | None | $3.80 | $4.79 | $7.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.80 Median $4.90 Typical High $9.12 | Professional | None | $3.80 | $4.90 | $9.12 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $3.02 Typical High $3.31 | Professional | None | $2.69 | $3.02 | $3.31 |
Pacific Source Setting Facility Modifier None Typical Low $3.55 Median $3.80 Typical High $3.98 | Facility | None | $3.55 | $3.80 | $3.98 |
Premera BCBS Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Premera BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.80 | Professional | None | $3.24 | $3.24 | $3.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.09 Median $3.39 Typical High $4.17 | Professional | None | $3.09 | $3.39 | $4.17 |
United Setting Professional Modifier None Typical Low $1.82 Median $1.95 Typical High $3.80 | Professional | None | $1.82 | $1.95 | $3.80 |
Wellpoint Setting Professional Modifier None Typical Low $2.45 Median $2.82 Typical High $6.03 | Professional | None | $2.45 | $2.82 | $6.03 |
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 $0.33 Median $0.33 Typical High $0.43 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.28 |
Where Washington sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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· 14th of 51
$3.39
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.