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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $128.82 | Facility | None | $74.13 | $93.33 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $158.49 | Facility | None | $97.72 | $97.72 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $87.10 | Facility | None | $77.62 | $79.43 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $229.09 | Facility | None | $72.44 | $81.28 | $229.09 |
Premera BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $81.28 Median $93.33 Typical High $128.82 | Facility | None | $81.28 | $93.33 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | None | $75.86 | $75.86 | $97.72 |
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 $38.02 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.22 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.59 | $8.32 | $8.32 |
Where Washington sits
The same service costs 1.5 times more in Alaska 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· 14th of 51
$81.28
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.