How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $25.12 Median $25.12 Typical High $95.50 | Facility | None | $25.12 | $25.12 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | None | $22.91 | $25.12 | $32.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $45.71 | Facility | None | $30.20 | $30.20 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $33.88 | Facility | None | $21.38 | $31.62 | $33.88 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $23.44 | Facility | None | $15.49 | $15.49 | $23.44 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | None | $21.88 | $23.44 | $23.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | None | $21.88 | $21.88 | $30.20 |
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 $11.75 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $11.75 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.68 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.80 Typical High $3.80 | Professional | 55 · Aftercare only | $3.47 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.34 | $2.51 | $2.51 |
Where Washington sits
The same service costs 2.0 times more in Minnesota than in Hawaii. 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· 19th of 51
$23.44
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.