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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $112.20 | Facility | None | $41.69 | $41.69 | $112.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $77.62 Median $363.08 Typical High $489.78 | Professional | None | $77.62 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | None | $52.48 | $74.13 | $125.89 |
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 $91.20 Median $102.33 Typical High $109.65 | Facility | None | $91.20 | $102.33 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | None | $77.62 | $77.62 | $114.82 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $128.82 | Professional | None | $70.79 | $85.11 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None | $100.00 | $100.00 | $190.55 |
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 $23.44 Median $23.44 Typical High $32.36 | Professional | 52 · Reduced service | $23.44 | $23.44 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $12.88 | Professional | 53 · Discontinued | $9.33 | $9.33 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $9.77 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $6.46 |
Where Washington sits
The same service costs 3.0 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· 16th of 51
$77.62
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.