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 $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 $54.95 | Professional | None | $38.90 | $38.90 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $93.33 | Facility | None | $34.67 | $34.67 | $93.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $302.00 Typical High $407.38 | Professional | None | $64.57 | $302.00 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $104.71 | Professional | None | $43.65 | $61.66 | $104.71 |
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 $75.86 Median $85.11 Typical High $91.20 | Facility | None | $75.86 | $85.11 | $91.20 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | None | $64.57 | $64.57 | $95.50 |
United Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $109.65 | Professional | None | $58.88 | $70.79 | $109.65 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $218.78 | Professional | None | $114.82 | $114.82 | $218.78 |
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 $19.05 Median $19.05 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $19.05 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $8.32 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $5.50 |
Where Washington sits
The same service costs 4.0 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· 15th 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.