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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $67.61 | Facility | None | $50.12 | $60.26 | $67.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $331.13 Typical High $501.19 | Professional | None | $57.54 | $331.13 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Kaiser Permanente Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $117.49 | Facility | None | $63.10 | $79.43 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | None | $60.26 | $81.28 | $125.89 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $63.10 | Professional | None | $50.12 | $54.95 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $66.07 | Facility | None | $52.48 | $64.57 | $66.07 |
Pacific Source Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None | $54.95 | $54.95 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $70.79 | Professional | None | $52.48 | $57.54 | $70.79 |
United Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $54.95 | Professional | None | $26.30 | $28.18 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $100.00 | Professional | None | $41.69 | $46.77 | $100.00 |
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 $18.62 Median $18.62 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $7.08 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $4.68 |
Where Washington sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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
$57.54
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.