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 $23.99 Median $23.99 Typical High $25.12 | Facility | None | $23.99 | $23.99 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $38.90 | Professional | None | $21.38 | $23.99 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $36.31 | Facility | None | $21.38 | $21.38 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $42.66 | Facility | None | $28.84 | $28.84 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Premera BCBS Setting Facility Modifier None Typical Low $19.50 Median $25.12 Typical High $61.66 | Facility | None | $19.50 | $25.12 | $61.66 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | None | $24.55 | $25.12 | $25.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $36.31 | Facility | None | $21.38 | $22.91 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | None | $21.38 | $21.38 | $28.18 |
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 $10.96 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.37 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.31 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.19 | $2.40 | $2.40 |
Where Washington sits
The same service costs 1.9 times more in Alaska than in Maryland. 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· 22nd of 51
$22.91
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.