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 $22.39 Median $22.39 Typical High $23.44 | Facility | None | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | None | $20.42 | $22.39 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.42 Median $60.26 Typical High $74.13 | Facility | None | $20.42 | $60.26 | $74.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $39.81 | Facility | None | $30.90 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $89.13 | Facility | None | $24.55 | $26.92 | $89.13 |
Premera BCBS Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $117.49 | Facility | None | $27.54 | $48.98 | $117.49 |
Premera BCBS Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | None | $43.65 | $57.54 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $74.13 | Facility | None | $42.66 | $60.26 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | None | $26.30 | $38.02 | $38.02 |
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 $10.23 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.23 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.07 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.09 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.04 | $2.24 | $2.24 |
Where Washington sits
The same service costs 3.8 times more in Oklahoma than in Delaware. 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· 21st of 51
$32.36
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.