How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None | $43.65 | $43.65 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $51.29 | Facility | None | $37.15 | $44.67 | $51.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $331.13 | Professional | None | $72.44 | $72.44 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | None | $43.65 | $60.26 | $81.28 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $81.28 | Professional | None | $26.30 | $46.77 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Facility | None | $67.61 | $70.79 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
United Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $151.36 | Professional | None | $66.07 | $85.11 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
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 $21.88 Median $21.88 Typical High $35.48 | Professional | 52 · Reduced service | $21.88 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $14.13 | Professional | 53 · Discontinued | $8.71 | $8.71 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $10.47 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $7.08 |
Where Washington sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 7th of 51
$67.61
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.