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 $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | None | $8.91 | $8.91 | $11.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.75 Median $14.45 Typical High $16.22 | Facility | None | $11.75 | $14.45 | $16.22 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.80 Median $79.43 Typical High $120.23 | Professional | None | $13.80 | $79.43 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $9.55 Typical High $10.23 | Facility | None | $8.13 | $9.55 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Kaiser Permanente Setting Facility Modifier None Typical Low $15.14 Median $19.05 Typical High $28.18 | Facility | None | $15.14 | $19.05 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $30.20 | Professional | None | $14.45 | $19.50 | $30.20 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $72.44 | Professional | None | $50.12 | $60.26 | $72.44 |
Pacific Source Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $15.85 | Facility | None | $12.59 | $15.49 | $15.85 |
Premera BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Premera BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | None | $13.18 | $13.18 | $15.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $16.98 | Professional | None | $12.88 | $13.80 | $16.98 |
United Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $13.18 | Professional | None | $6.31 | $6.76 | $13.18 |
Wellpoint Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $23.99 | Professional | None | $8.13 | $11.22 | $23.99 |
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 $1.35 Median $1.35 Typical High $1.70 | Professional | 55 · Aftercare only | $1.35 | $1.35 | $1.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.89 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.89 | $0.89 | $1.12 |
Where Washington sits
The same service costs 2.2 times more in Kansas 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· 12th of 51
$13.80
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.