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 $16.22 Median $16.22 Typical High $32.36 | Facility | None | $16.22 | $16.22 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $32.36 | Professional | None | $16.22 | $28.18 | $32.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.88 Median $354.81 Typical High $724.44 | Facility | None | $12.88 | $354.81 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $27.54 Median $52.48 Typical High $331.13 | Professional | None | $27.54 | $52.48 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $63.10 | Professional | None | $19.05 | $33.88 | $63.10 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $81.28 | Professional | None | $26.92 | $45.71 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $75.86 | Facility | None | $61.66 | $69.18 | $75.86 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $53.70 | Facility | None | $51.29 | $51.29 | $53.70 |
Premera BCBS Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $53.70 | Professional | None | $26.92 | $53.70 | $53.70 |
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 $27.54 Median $45.71 Typical High $66.07 | Professional | None | $27.54 | $45.71 | $66.07 |
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 $25.12 Median $44.67 Typical High $64.57 | Professional | None | $25.12 | $44.67 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $38.90 Typical High $56.23 | Professional | None | $17.38 | $38.90 | $56.23 |
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 $8.13 Median $13.80 Typical High $16.22 | Professional | 52 · Reduced service | $8.13 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $4.17 Typical High $4.90 | Professional | 55 · Aftercare only | $2.40 | $4.17 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.75 Typical High $3.24 | Professional | 56 · Pre-op care only | $1.62 | $2.75 | $3.24 |
Where Washington sits
The same service costs 2.6 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· 11th of 51
$40.74
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.