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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | None | $28.18 | $28.18 | $32.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $50.12 | Facility | None | $33.88 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $28.18 | Facility | None | $25.70 | $25.70 | $28.18 |
Premera BCBS Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $30.90 | Facility | None | $26.92 | $30.90 | $30.90 |
Premera BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | None | $26.30 | $26.92 | $26.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Facility | None | $25.70 | $25.70 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $33.11 | Professional | None | $22.91 | $22.91 | $33.11 |
2 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 55 · Aftercare only Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $3.89 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.57 | $2.82 | $2.82 |
Where Washington sits
The same service costs 1.9 times more in Alaska than in New Jersey. 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· 44th of 51
$26.92
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.