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 $3.09 Median $3.16 Typical High $3.31 | Facility | None | $3.09 | $3.16 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.16 Typical High $3.98 | Professional | None | $3.02 | $3.16 | $3.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $7.24 | Facility | None | $3.80 | $3.80 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Pacific Source Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Premera BCBS Setting Facility Modifier None Typical Low $3.47 Median $5.37 Typical High $5.37 | Facility | None | $3.47 | $5.37 | $5.37 |
Premera BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | None | $3.39 | $3.47 | $3.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.72 | Professional | None | $2.95 | $2.95 | $3.72 |
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 $1.45 Median $1.58 Typical High $1.58 | Professional | 52 · Reduced service | $1.45 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.63 Typical High $0.63 | Professional | 53 · Discontinued | $0.58 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.47 Typical High $0.47 | Professional | 55 · Aftercare only | $0.43 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.28 | $0.31 | $0.31 |
Where Washington sits
The same service costs 2.0 times more in Wyoming than in Florida. 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· 24th of 51
$3.09
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.