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 $26.92 Median $26.92 Typical High $44.67 | Facility | None | $26.92 | $26.92 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $34.67 | Professional | None | $25.12 | $26.92 | $34.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $36.31 | Facility | None | $22.91 | $26.30 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $48.98 | Facility | None | $32.36 | $32.36 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Pacific Source Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $23.44 | Facility | None | $22.91 | $22.91 | $23.44 |
Premera BCBS Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $63.10 | Facility | None | $19.95 | $22.91 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $36.31 | Facility | None | $22.91 | $26.30 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | None | $23.99 | $23.99 | $32.36 |
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 $12.59 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.72 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.51 | $2.69 | $2.69 |
Where Washington sits
The same service costs 1.6 times more in Alaska than in Mississippi. 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· 34th of 51
$24.55
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.