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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $21.88 | Facility | None | $8.51 | $12.88 | $21.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $11.22 | Facility | None | $10.96 | $10.96 | $11.22 |
Premera BCBS Setting Facility Modifier None Typical Low $9.77 Median $16.60 Typical High $25.70 | Facility | None | $9.77 | $16.60 | $25.70 |
Premera BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $21.88 | Facility | None | $15.49 | $16.60 | $21.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $35.48 | Professional | None | $10.47 | $13.49 | $35.48 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.98 | Professional | None | $11.48 | $11.48 | $16.98 |
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 $1.41 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
Where Washington sits
The same service costs 4.7 times more in Florida than in New York. 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· 17th of 51
$10.96
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.