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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | None | $85.11 | $85.11 | $93.33 |
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 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $151.36 | Facility | None | $123.03 | $144.54 | $151.36 |
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 $42.66 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $16.98 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $9.33 |
Where Washington sits
The same service costs 2.5 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· 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.