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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | None | $7.94 | $7.94 | $10.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $13.80 Typical High $15.85 | Facility | None | $11.75 | $13.80 | $15.85 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.30 Median $85.11 Typical High $107.15 | Professional | None | $12.30 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.72 | Facility | None | $10.00 | $10.00 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Kaiser Permanente Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $25.70 | Facility | None | $13.49 | $17.38 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $31.62 | Professional | None | $13.49 | $17.38 | $31.62 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $12.02 | Professional | None | $9.77 | $10.96 | $12.02 |
Pacific Source Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $16.22 | Facility | None | $11.22 | $13.80 | $16.22 |
Pacific Source Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Premera BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Premera BCBS Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | None | $11.75 | $11.75 | $13.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $15.14 | Professional | None | $11.48 | $12.30 | $15.14 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $13.80 | Professional | None | $6.46 | $7.08 | $13.80 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $21.88 | Professional | None | $7.59 | $10.00 | $21.88 |
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 $1.20 Median $1.20 Typical High $1.55 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $1.05 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $1.05 |
Where Washington sits
The same service costs 2.3 times more in Montana than in Connecticut. 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· 17th of 51
$12.30
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.