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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | None | $10.47 | $10.72 | $10.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $19.50 | Facility | None | $10.72 | $14.13 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $21.38 | Facility | None | $10.72 | $19.95 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Premera BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $38.02 | Facility | None | $10.47 | $10.47 | $38.02 |
Premera BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $17.78 | Facility | None | $11.22 | $13.49 | $17.78 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
2 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 55 · Aftercare only Typical Low $1.58 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.58 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.07 |
Where Washington sits
The same service costs 1.7 times more in Arizona 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· 35th of 51
$10.72
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.