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 $1.62 Median $1.62 Typical High $1.62 | Facility | None | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $1.62 Typical High $1.62 | Professional | None | $1.51 | $1.62 | $1.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.45 Median $1.66 Typical High $2.29 | Facility | None | $1.45 | $1.66 | $2.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $2.95 | Facility | None | $1.95 | $1.95 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Pacific Source Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $1.51 | Facility | None | $1.45 | $1.45 | $1.51 |
Premera BCBS Setting Facility Modifier None Typical Low $1.26 Median $1.48 Typical High $3.89 | Facility | None | $1.26 | $1.48 | $3.89 |
Premera BCBS Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $1.45 Median $1.66 Typical High $2.29 | Facility | None | $1.45 | $1.66 | $2.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
United Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | None | $1.48 | $1.48 | $1.48 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Wellpoint Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.95 | Professional | None | $1.51 | $1.51 | $1.95 |
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 $0.76 Median $0.81 Typical High $0.81 | Professional | 52 · Reduced service | $0.76 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.33 Typical High $0.33 | Professional | 53 · Discontinued | $0.30 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.25 Typical High $0.25 | Professional | 55 · Aftercare only | $0.23 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.15 | $0.16 | $0.16 |
Where Washington sits
The same service costs 1.5 times more in Alaska than in Alabama. 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· 38th of 51
$1.51
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.