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 $7.76 Median $7.76 Typical High $8.71 | Facility | None | $7.76 | $7.76 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $12.88 | Professional | None | $7.08 | $7.76 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $12.88 Typical High $12.88 | Professional | None | $6.92 | $12.88 | $12.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $14.13 | Facility | None | $9.33 | $9.33 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Premera BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.71 Typical High $8.71 | Facility | None | $8.13 | $8.71 | $8.71 |
Premera BCBS Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | None | $7.94 | $8.13 | $8.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Wellpoint Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.33 | Professional | None | $6.92 | $6.92 | $9.33 |
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 $3.63 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.63 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.45 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $1.07 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.72 | $0.78 | $0.78 |
Where Washington sits
The same service costs 2.0 times more in Alaska than in Maryland. 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
$7.76
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.