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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | None | $44.67 | $47.86 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $107.15 | Facility | None | $57.54 | $57.54 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $77.62 | Facility | None | $50.12 | $72.44 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $63.10 | Facility | None | $33.11 | $33.11 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | None | $58.88 | $63.10 | $63.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $83.18 | Facility | None | $43.65 | $43.65 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | None | $57.54 | $58.88 | $58.88 |
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 $22.39 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.91 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.47 | $4.79 | $4.79 |
Where Washington sits
The same service costs 2.0 times more in Alaska than in Wyoming. 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· 26th of 51
$54.95
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.