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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $36.31 | Facility | None | $15.14 | $22.39 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | None | $16.98 | $16.98 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | None | $19.05 | $19.05 | $23.44 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $19.50 Typical High $24.55 | Facility | None | $19.05 | $19.50 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $44.67 | Facility | None | $18.62 | $28.84 | $44.67 |
Premera BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $29.51 Typical High $36.31 | Facility | None | $25.70 | $29.51 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $58.88 | Professional | None | $19.95 | $31.62 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $30.20 | Professional | None | $15.49 | $15.49 | $30.20 |
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 $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $1.78 |
Where Washington sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 24th of 51
$19.05
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.