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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $100.00 | Facility | None | $51.29 | $64.57 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $660.69 | Professional | None | $64.57 | $79.43 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $123.03 | Facility | None | $64.57 | $81.28 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $138.04 | Professional | None | $61.66 | $83.18 | $138.04 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $79.43 | Facility | None | $67.61 | $74.13 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $128.82 | Facility | None | $63.10 | $63.10 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Facility | None | $64.57 | $64.57 | $66.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $75.86 | Professional | None | $58.88 | $64.57 | $75.86 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | None | $32.36 | $32.36 | $61.66 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $102.33 | Professional | None | $42.66 | $58.88 | $102.33 |
4 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 $5.50 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.72 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.09 | $3.72 | $7.94 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | NR · New when rented | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | NR · New when rented | $54.95 | $54.95 | $54.95 |
Where Washington sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 16th of 51
$58.88
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.