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 $1.00 Median $1.00 Typical High $1.58 | Facility | None | $1.00 | $1.00 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.26 | Professional | None | $1.00 | $1.00 | $1.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.15 Median $1.35 Typical High $1.62 | Facility | None | $1.15 | $1.35 | $1.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.51 Median $8.91 Typical High $13.49 | Professional | None | $1.51 | $8.91 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.51 Median $2.19 Typical High $3.63 | Professional | None | $1.51 | $2.19 | $3.63 |
Molina Setting Professional Modifier None Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | None | $1.23 | $1.51 | $1.51 |
Pacific Source Setting Facility Modifier None Typical Low $1.41 Median $1.70 Typical High $1.74 | Facility | None | $1.41 | $1.70 | $1.74 |
Premera BCBS Setting Facility Modifier None Typical Low $1.45 Median $1.55 Typical High $3.31 | Facility | None | $1.45 | $1.55 | $3.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.45 Median $1.51 Typical High $1.86 | Professional | None | $1.45 | $1.51 | $1.86 |
United Setting Professional Modifier None Typical Low $0.71 Median $0.76 Typical High $1.41 | Professional | None | $0.71 | $0.76 | $1.41 |
Wellpoint Setting Professional Modifier None Typical Low $0.79 Median $1.51 Typical High $2.69 | Professional | None | $0.79 | $1.51 | $2.69 |
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 $0.50 Median $0.50 Typical High $0.60 | Professional | 52 · Reduced service | $0.50 | $0.50 | $0.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.24 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.19 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.12 |
Where Washington sits
The same service costs 2.5 times more in Idaho 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· 15th of 51
$1.45
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.