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 $0.87 Median $0.87 Typical High $1.02 | Facility | None | $0.87 | $0.87 | $1.02 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.87 Typical High $1.12 | Professional | None | $0.79 | $0.87 | $1.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $1.05 Median $1.05 Typical High $1.66 | Facility | None | $1.05 | $1.05 | $1.66 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Pacific Source Setting Facility Modifier None Typical Low $0.79 Median $0.89 Typical High $1.20 | Facility | None | $0.79 | $0.89 | $1.20 |
Premera BCBS Setting Facility Modifier None Typical Low $0.76 Median $0.76 Typical High $0.87 | Facility | None | $0.76 | $0.76 | $0.87 |
Premera BCBS Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Wellpoint Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $1.05 | Professional | None | $0.83 | $0.83 | $1.05 |
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 $0.40 Median $0.44 Typical High $0.44 | Professional | 52 · Reduced service | $0.40 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.18 Typical High $0.18 | Professional | 53 · Discontinued | $0.16 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.12 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.08 | $0.09 | $0.09 |
Where Washington sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 20th of 51
$0.87
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.