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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $100.00 | Professional | None | $61.66 | $61.66 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $77.62 | Facility | None | $54.95 | $66.07 | $77.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $467.74 | Professional | None | $102.33 | $102.33 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $114.82 | Professional | None | $60.26 | $87.10 | $114.82 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $95.50 Typical High $154.88 | Professional | None | $52.48 | $95.50 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Facility | None | $100.00 | $100.00 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | None | $102.33 | $102.33 | $125.89 |
United Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $229.09 | Professional | None | $91.20 | $117.49 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | None | $75.86 | $75.86 | $104.71 |
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 $30.90 Median $30.90 Typical High $50.12 | Professional | 52 · Reduced service | $30.90 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $12.59 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $15.14 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $10.00 |
Where Washington sits
The same service costs 2.2 times more in Alaska than in Kentucky. 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
$102
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.