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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $72.44 | Facility | None | $27.54 | $41.69 | $72.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | None | $25.12 | $25.12 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Facility | None | $35.48 | $35.48 | $36.31 |
Premera BCBS Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $83.18 | Facility | None | $31.62 | $53.70 | $83.18 |
Premera BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $50.12 Median $53.70 Typical High $72.44 | Facility | None | $50.12 | $53.70 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $114.82 | Professional | None | $33.88 | $40.74 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $54.95 | Professional | None | $37.15 | $37.15 | $54.95 |
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 $4.57 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.02 |
Where Washington sits
The same service costs 3.5 times more in Montana 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· 15th of 51
$35.48
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.