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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | None | $91.20 | $91.20 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $85.11 | Facility | None | $60.26 | $72.44 | $85.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $512.86 | Professional | None | $109.65 | $109.65 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $123.03 | Professional | None | $66.07 | $93.33 | $123.03 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $234.42 | Professional | None | $79.43 | $141.25 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $154.88 | Facility | None | $95.50 | $154.88 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Facility | None | $107.15 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None | $109.65 | $109.65 | $134.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $245.47 | Professional | None | $100.00 | $128.82 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | None | $83.18 | $83.18 | $114.82 |
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 $45.71 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $10.00 |
Where Washington sits
The same service costs 2.6 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· 6th of 51
$110
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.