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 $22.91 Median $22.91 Typical High $23.44 | Facility | None | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $29.51 | Professional | None | $20.89 | $23.44 | $29.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $36.31 | Facility | None | $20.89 | $25.12 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $41.69 | Facility | None | $27.54 | $27.54 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Premera BCBS Setting Facility Modifier None Typical Low $17.78 Median $23.99 Typical High $63.10 | Facility | None | $17.78 | $23.99 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | None | $26.30 | $26.92 | $26.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $36.31 | Facility | None | $20.42 | $25.12 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None | $22.91 | $22.91 | $27.54 |
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 $10.72 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.27 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.16 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $2.14 | $2.29 | $2.29 |
Where Washington sits
The same service costs 2.6 times more in Wyoming than in Texas. 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· 18th of 51
$22.91
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.