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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.91 Median $13.18 Typical High $23.44 | Facility | None | $8.91 | $13.18 | $23.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
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 $7.94 Median $7.94 Typical High $9.77 | Professional | None | $7.94 | $7.94 | $9.77 |
Pacific Source Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.48 | Facility | None | $11.22 | $11.22 | $11.48 |
Premera BCBS Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $26.92 | Facility | None | $10.23 | $16.98 | $26.92 |
Premera BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $17.38 Typical High $23.44 | Facility | None | $16.22 | $17.38 | $23.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $37.15 | Professional | None | $10.72 | $14.13 | $37.15 |
Wellpoint Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $17.78 | Professional | None | $11.75 | $11.75 | $17.78 |
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 $1.45 Median $1.45 Typical High $1.45 | Professional | 55 · Aftercare only | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 56 · Pre-op care only | $0.98 | $0.98 | $0.98 |
Where Washington sits
The same service costs 4.6 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
$11.22
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.