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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | None | $102.33 | $109.65 | $109.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $72.44 Median $147.91 Typical High $194.98 | Facility | None | $72.44 | $147.91 | $194.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $602.56 Typical High $831.76 | Professional | None | $128.82 | $602.56 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $245.47 | Professional | None | $95.50 | $190.55 | $245.47 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | None | $44.67 | $44.67 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $194.98 | Facility | None | $102.33 | $169.82 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Facility | None | $125.89 | $125.89 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $194.98 | Facility | None | $134.90 | $147.91 | $194.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $194.98 | Professional | None | $128.82 | $128.82 | $194.98 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $194.98 | Professional | None | $91.20 | $125.89 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $208.93 | Professional | None | $100.00 | $109.65 | $208.93 |
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 $51.29 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $15.14 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.23 | $10.96 | $10.96 |
Where Washington sits
The same service costs 3.3 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· 6th of 51
$129
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.