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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None | $87.10 | $87.10 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $107.15 | Facility | None | $77.62 | $93.33 | $107.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $660.69 | Professional | None | $144.54 | $144.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $158.49 | Professional | None | $85.11 | $123.03 | $158.49 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $234.42 | Professional | None | $79.43 | $141.25 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Premera BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None | $144.54 | $144.54 | $177.83 |
United Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $323.59 | Professional | None | $128.82 | $165.96 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $147.91 | Professional | None | $104.71 | $104.71 | $147.91 |
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 $43.65 Median $43.65 Typical High $69.18 | Professional | 52 · Reduced service | $43.65 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $17.38 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $20.89 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $13.80 |
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
$141
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.