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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.89 Typical High $3.89 | Professional | None | $3.55 | $3.89 | $3.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.55 Median $4.17 Typical High $5.75 | Facility | None | $3.55 | $4.17 | $5.75 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $7.08 | Facility | None | $4.68 | $4.68 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Pacific Source Setting Facility Modifier None Typical Low $3.47 Median $3.98 Typical High $5.25 | Facility | None | $3.47 | $3.98 | $5.25 |
Premera BCBS Setting Facility Modifier None Typical Low $3.09 Median $3.63 Typical High $10.00 | Facility | None | $3.09 | $3.63 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.55 Median $4.17 Typical High $5.75 | Facility | None | $3.55 | $4.17 | $5.75 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Wellpoint Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | None | $3.55 | $3.55 | $4.57 |
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 $1.78 Median $1.95 Typical High $1.95 | Professional | 52 · Reduced service | $1.78 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.78 Typical High $0.78 | Professional | 53 · Discontinued | $0.71 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.58 Typical High $0.58 | Professional | 55 · Aftercare only | $0.52 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.39 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.36 | $0.39 | $0.39 |
Where Washington sits
The same service costs 1.7 times more in Arizona than in Illinois. 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· 19th of 51
$3.63
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.