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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.17 Median $6.17 Typical High $10.00 | Facility | None | $4.17 | $6.17 | $10.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $6.92 | Professional | None | $4.47 | $4.47 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Molina Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.71 | Professional | None | $7.08 | $7.08 | $8.71 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $7.76 | Facility | None | $5.13 | $5.13 | $7.76 |
Premera BCBS Setting Facility Modifier None Typical Low $5.50 Median $7.41 Typical High $11.75 | Facility | None | $5.50 | $7.41 | $11.75 |
Premera BCBS Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.92 Median $7.94 Typical High $10.72 | Facility | None | $6.92 | $7.94 | $10.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.96 Typical High $16.60 | Professional | None | $6.17 | $10.96 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.76 | Professional | None | $4.57 | $4.57 | $7.76 |
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 $0.79 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Where Washington sits
The same service costs 4.2 times more in Kansas than in Delaware. 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· 37th of 51
$5.13
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.