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 $0.81 Median $0.81 Typical High $0.81 | Facility | None | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $0.65 Median $0.87 Typical High $1.45 | Facility | None | $0.65 | $0.87 | $1.45 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $1.07 | Professional | None | $0.71 | $0.71 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Molina Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Pacific Source Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $1.20 | Facility | None | $0.81 | $0.81 | $1.20 |
Premera BCBS Setting Facility Modifier None Typical Low $0.87 Median $1.17 Typical High $1.86 | Facility | None | $0.87 | $1.17 | $1.86 |
Premera BCBS Setting Professional Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | None | $0.78 | $0.78 | $0.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $0.93 Median $1.07 Typical High $1.51 | Facility | None | $0.93 | $1.07 | $1.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
United Setting Professional Modifier None Typical Low $0.93 Median $1.66 Typical High $2.51 | Professional | None | $0.93 | $1.66 | $2.51 |
Wellpoint Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $1.26 | Professional | None | $0.72 | $0.72 | $1.26 |
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 $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Where Washington sits
The same service costs 3.2 times more in Texas 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· 41st of 51
$0.81
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.