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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | None | $218.78 | $218.78 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $158.49 | Facility | None | $117.49 | $141.25 | $158.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $549.54 | Professional | None | $263.03 | $398.11 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $263.03 Typical High $398.11 | Professional | None | $42.66 | $263.03 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $389.05 | Facility | None | $229.09 | $363.08 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $524.81 | Professional | None | $263.03 | $398.11 | $524.81 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $575.44 | Professional | None | $239.88 | $316.23 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $316.23 | Professional | None | $213.80 | $223.87 | $316.23 |
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 $109.65 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $23.99 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in Alabama. 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
$251
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.