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 $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.39 | Professional | None | $2.69 | $2.69 | $3.39 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $4.79 | Facility | None | $3.63 | $4.37 | $4.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.07 Median $23.99 Typical High $36.31 | Professional | None | $4.07 | $23.99 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.82 Typical High $3.09 | Facility | None | $2.69 | $2.82 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4.57 Median $5.75 Typical High $8.51 | Facility | None | $4.57 | $5.75 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.37 Median $5.89 Typical High $9.12 | Professional | None | $4.37 | $5.89 | $9.12 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $3.98 Typical High $4.57 | Professional | None | $3.63 | $3.98 | $4.57 |
Pacific Source Setting Facility Modifier None Typical Low $3.72 Median $4.68 Typical High $4.79 | Facility | None | $3.72 | $4.68 | $4.79 |
Pacific Source Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Premera BCBS Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Premera BCBS Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | None | $3.98 | $3.98 | $4.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $5.13 | Professional | None | $3.72 | $4.07 | $5.13 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $3.98 | Professional | None | $1.86 | $2.00 | $3.98 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.39 Typical High $7.24 | Professional | None | $3.02 | $3.39 | $7.24 |
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 $1.35 Median $1.35 Typical High $1.70 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.68 | Professional | 53 · Discontinued | $0.54 | $0.54 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.40 Typical High $0.51 | Professional | 55 · Aftercare only | $0.40 | $0.40 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.27 | $0.27 | $0.34 |
Where Washington sits
The same service costs 2.2 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· 14th of 51
$4.07
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.