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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | None | $10.00 | $10.23 | $10.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.47 Median $5.13 Typical High $10.23 | Facility | None | $3.47 | $5.13 | $10.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $19.05 Typical High $21.88 | Facility | None | $10.23 | $19.05 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Premera BCBS Setting Facility Modifier None Typical Low $2.51 Median $3.55 Typical High $10.00 | Facility | None | $2.51 | $3.55 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.02 Median $4.57 Typical High $6.17 | Facility | None | $3.02 | $4.57 | $6.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
United Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
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 $5.01 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $5.01 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.48 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $1.00 | $1.02 | $1.02 |
Where Washington sits
The same service costs 9.1 times more in Alabama than in Virginia. 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· 50th of 51
$10.00
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.