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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $21.38 | Professional | None | $19.05 | $19.05 | $21.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $17.38 | Facility | None | $13.49 | $16.22 | $17.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $114.82 | Professional | None | $25.70 | $25.70 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $26.30 | Professional | None | $14.79 | $20.42 | $26.30 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $79.43 | Professional | None | $60.26 | $75.86 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $37.15 | Facility | None | $28.84 | $34.67 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | None | $25.70 | $25.70 | $30.90 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $54.95 | Professional | None | $22.39 | $28.84 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $25.12 | Professional | None | $17.78 | $17.78 | $25.12 |
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 $9.55 Median $9.55 Typical High $10.72 | Professional | 52 · Reduced service | $9.55 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.27 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $3.24 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.14 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Indiana. 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· 5th of 51
$24.55
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.