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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | None | $144.54 | $144.54 | $154.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $112.20 | Facility | None | $83.18 | $100.00 | $112.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $912.01 | Professional | None | $173.78 | $173.78 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $190.55 | Professional | None | $102.33 | $162.18 | $190.55 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $309.03 | Professional | None | $102.33 | $190.55 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $288.40 Typical High $316.23 | Facility | None | $147.91 | $288.40 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $223.87 | Facility | None | $169.82 | $169.82 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | None | $173.78 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $275.42 | Professional | None | $173.78 | $173.78 | $275.42 |
United Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $436.52 | Professional | None | $158.49 | $229.09 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $234.42 | Professional | None | $112.20 | $173.78 | $234.42 |
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 $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $15.49 |
Where Washington sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 6th of 51
$174
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.