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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None | $61.66 | $61.66 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $47.86 | Facility | None | $34.67 | $41.69 | $47.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $446.68 | Professional | None | $74.13 | $74.13 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $75.86 | Professional | None | $40.74 | $64.57 | $75.86 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $95.50 Typical High $154.88 | Professional | None | $52.48 | $95.50 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $158.49 | Facility | None | $93.33 | $131.83 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $109.65 | Facility | None | $74.13 | $74.13 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $109.65 | Professional | None | $74.13 | $109.65 | $109.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | None | $74.13 | $74.13 | $138.04 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $204.17 | Professional | None | $63.10 | $93.33 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $87.10 Typical High $117.49 | Professional | None | $46.77 | $87.10 | $117.49 |
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 $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.76 |
Where Washington sits
The same service costs 3.0 times more in North Dakota than in New York. 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· 8th of 51
$74.13
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.