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 $33.11 Median $33.11 Typical High $229.09 | Facility | None | $33.11 | $33.11 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $33.11 Typical High $56.23 | Professional | None | $9.77 | $33.11 | $56.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $131.83 Typical High $275.42 | Facility | None | $26.30 | $131.83 | $275.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $93.33 | Professional | None | $39.81 | $70.79 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $50.12 | Professional | None | $12.30 | $20.89 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $15.85 Median $26.92 Typical High $33.11 | Facility | None | $15.85 | $26.92 | $33.11 |
Premera BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $43.65 | Facility | None | $39.81 | $39.81 | $43.65 |
Premera BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $263.03 | Facility | None | $91.20 | $138.04 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $93.33 | Professional | None | $39.81 | $70.79 | $93.33 |
United Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $281.84 | Facility | None | $138.04 | $181.97 | $281.84 |
United Setting Professional Modifier None Typical Low $14.45 Median $32.36 Typical High $107.15 | Professional | None | $14.45 | $32.36 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $69.18 | Professional | None | $35.48 | $35.48 | $69.18 |
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 52 · Reduced service Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.03 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $4.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.02 | $3.31 | $3.31 |
Where Washington sits
The same service costs 6.6 times more in Alabama than in Kansas. 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· 5th of 51
$43.65
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.