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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $24.55 | Professional | None | $19.50 | $21.38 | $24.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $28.84 | Facility | None | $19.05 | $20.89 | $28.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $38.02 | Facility | None | $25.70 | $25.70 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Pacific Source Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $20.42 Typical High $48.98 | Facility | None | $15.49 | $20.42 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | None | $21.38 | $21.88 | $21.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.78 Median $20.89 Typical High $28.84 | Facility | None | $17.78 | $20.89 | $28.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.12 | Professional | None | $18.62 | $18.62 | $25.12 |
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 $9.77 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $9.77 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $2.95 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.95 | $2.14 | $2.14 |
Where Washington sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 29th 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.