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 $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.62 Median $2.40 Typical High $3.98 | Facility | None | $1.62 | $2.40 | $3.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.34 | Professional | None | $1.78 | $1.78 | $2.34 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.70 | Professional | None | $1.17 | $1.17 | $1.70 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.69 | Professional | None | $2.19 | $2.19 | $2.69 |
Pacific Source Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.19 | Facility | None | $2.04 | $2.04 | $2.19 |
Premera BCBS Setting Facility Modifier None Typical Low $2.00 Median $2.95 Typical High $4.68 | Facility | None | $2.00 | $2.95 | $4.68 |
Premera BCBS Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $2.82 Median $3.02 Typical High $3.98 | Facility | None | $2.82 | $3.02 | $3.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.63 Typical High $6.31 | Professional | None | $2.14 | $3.63 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $3.09 | Professional | None | $1.58 | $1.58 | $3.09 |
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 $0.28 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Where Washington sits
The same service costs 33.1 times more in Kansas 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· 28th of 51
$1.95
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.