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 $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $2.82 | Professional | None | $2.57 | $2.82 | $2.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.29 Median $2.63 Typical High $3.63 | Facility | None | $2.29 | $2.63 | $3.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $5.01 | Facility | None | $3.39 | $3.39 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Pacific Source Setting Facility Modifier None Typical Low $2.29 Median $2.40 Typical High $3.98 | Facility | None | $2.29 | $2.40 | $3.98 |
Premera BCBS Setting Facility Modifier None Typical Low $1.95 Median $2.29 Typical High $6.03 | Facility | None | $1.95 | $2.29 | $6.03 |
Premera BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $2.29 Median $2.63 Typical High $3.63 | Facility | None | $2.29 | $2.63 | $3.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
United Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Wellpoint Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.31 | Professional | None | $2.40 | $2.40 | $3.31 |
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 $1.29 Median $1.41 Typical High $1.41 | Professional | 52 · Reduced service | $1.29 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.51 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.42 Typical High $0.42 | Professional | 55 · Aftercare only | $0.39 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.26 | $0.28 | $0.28 |
Where Washington sits
The same service costs 1.6 times more in Alaska than in Rhode Island. 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· 24th of 51
$2.51
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.