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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.60 | Professional | None | $11.22 | $11.22 | $16.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $28.18 | Facility | None | $10.47 | $10.47 | $28.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.50 Median $91.20 Typical High $123.03 | Professional | None | $19.50 | $91.20 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $31.62 | Professional | None | $12.88 | $18.62 | $31.62 |
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 $22.91 Median $27.54 Typical High $28.18 | Facility | None | $22.91 | $27.54 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Premera BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $28.84 | Professional | None | $19.50 | $19.50 | $28.84 |
United Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $31.62 | Professional | None | $16.98 | $20.42 | $31.62 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $144.54 | Professional | None | $75.86 | $75.86 | $144.54 |
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 $5.50 Median $5.50 Typical High $8.32 | Professional | 52 · Reduced service | $5.50 | $5.50 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $3.31 | Professional | 53 · Discontinued | $2.24 | $2.24 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $2.45 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.66 |
Where Washington sits
The same service costs 4.9 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
$19.05
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.