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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | None | $38.90 | $38.90 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $95.50 | Facility | None | $38.02 | $51.29 | $95.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $57.54 Typical High $107.15 | Professional | None | $8.71 | $57.54 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $93.33 | Facility | None | $52.48 | $85.11 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Premera BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $95.50 | Facility | None | $66.07 | $70.79 | $95.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | None | $56.23 | $67.61 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $117.49 | Professional | None | $51.29 | $51.29 | $117.49 |
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 $19.50 Median $19.50 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.32 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.31 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.17 |
Where Washington sits
The same service costs 4.9 times more in Alabama than in Louisiana. 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
$64.57
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.