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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | None | $18.20 | $19.95 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $26.92 | Facility | None | $18.20 | $18.20 | $26.92 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $36.31 | Facility | None | $23.99 | $23.99 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $50.12 | Facility | None | $16.98 | $16.98 | $50.12 |
Premera BCBS Setting Facility Modifier None Typical Low $14.13 Median $19.50 Typical High $44.67 | Facility | None | $14.13 | $19.50 | $44.67 |
Premera BCBS Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | None | $19.95 | $20.42 | $20.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $18.20 Typical High $26.92 | Facility | None | $16.98 | $18.20 | $26.92 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | None | $17.38 | $17.38 | $19.50 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $23.44 | Professional | None | $17.38 | $17.38 | $23.44 |
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 $9.12 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $9.12 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.63 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.75 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.82 | $2.00 | $2.00 |
Where Washington sits
The same service costs 1.9 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· 14th of 51
$19.50
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.