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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $38.02 | Professional | None | $23.99 | $30.90 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $38.90 | Professional | None | $28.84 | $38.90 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $54.95 | Facility | None | $44.67 | $52.48 | $54.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $46.77 Median $275.42 Typical High $416.87 | Professional | None | $46.77 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $38.02 | Facility | None | $35.48 | $35.48 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $97.72 | Facility | None | $51.29 | $66.07 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $112.20 | Professional | None | $51.29 | $67.61 | $112.20 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $58.88 | Professional | None | $44.67 | $50.12 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Facility | None | $52.48 | $52.48 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $104.71 | Facility | None | $47.86 | $47.86 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $57.54 | Professional | None | $44.67 | $46.77 | $57.54 |
United Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $47.86 | Professional | None | $23.44 | $24.55 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $83.18 | Professional | None | $30.90 | $38.90 | $83.18 |
4 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 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $5.89 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.89 |
Where Washington sits
The same service costs 2.2 times more in Hawaii than in Utah. 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· 13th of 51
$47.86
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.