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 $54.95 | Facility | None | $33.11 | $33.11 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $54.95 | Professional | None | $33.11 | $53.70 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $354.81 Typical High $724.44 | Facility | None | $26.30 | $354.81 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $549.54 | Professional | None | $54.95 | $91.20 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $114.82 | Professional | None | $38.02 | $61.66 | $114.82 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $162.18 | Professional | None | $54.95 | $91.20 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $128.82 | Facility | None | $72.44 | $125.89 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $89.13 | Professional | None | $53.70 | $89.13 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $724.44 | Facility | None | $257.04 | $389.05 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $109.65 | Professional | None | $54.95 | $85.11 | $109.65 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $117.49 | Professional | None | $52.48 | $79.43 | $117.49 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $67.61 Typical High $95.50 | Professional | None | $34.67 | $67.61 | $95.50 |
3 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 $16.60 Median $26.92 Typical High $27.54 | Professional | 52 · Reduced service | $16.60 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $4.90 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $5.37 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.31 | $5.37 | $5.50 |
Where Washington sits
The same service costs 2.3 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· 5th of 51
$81.28
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.