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 $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 $26.92 | Professional | None | $19.05 | $19.05 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $45.71 | Facility | None | $17.38 | $17.38 | $45.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $31.62 Median $151.36 Typical High $199.53 | Professional | None | $31.62 | $151.36 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $52.48 | Professional | None | $21.88 | $30.90 | $52.48 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None | $50.12 | $50.12 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Premera BCBS Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
United Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $52.48 | Professional | None | $29.51 | $35.48 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $72.44 | Professional | None | $38.02 | $38.02 | $72.44 |
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 $13.49 | Professional | 52 · Reduced service | $9.55 | $9.55 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $5.37 | Professional | 53 · Discontinued | $3.89 | $3.89 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $3.98 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.69 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.69 |
Where Washington sits
The same service costs 2.7 times more in Alaska than in Connecticut. 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· 16th of 51
$31.62
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.