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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | None | $14.13 | $15.49 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $23.44 | Facility | None | $14.13 | $14.13 | $23.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $28.84 | Facility | None | $18.62 | $18.62 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $25.70 | Facility | None | $14.13 | $14.13 | $25.70 |
Premera BCBS Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $38.90 | Facility | None | $12.02 | $16.60 | $38.90 |
Premera BCBS Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | None | $16.98 | $17.38 | $17.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.13 Median $14.45 Typical High $23.44 | Facility | None | $14.13 | $14.45 | $23.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | None | $13.80 | $13.80 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | None | $14.79 | $14.79 | $18.20 |
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 $7.08 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.08 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.82 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $2.14 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.55 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.41 | $1.55 | $1.55 |
Where Washington sits
The same service costs 1.8 times more in Alaska 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· 14th of 51
$15.49
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.