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 $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.38 Typical High $1.38 | Professional | None | $1.26 | $1.38 | $1.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1.07 Median $1.35 Typical High $1.91 | Facility | None | $1.07 | $1.35 | $1.91 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $1.66 Typical High $2.45 | Facility | None | $1.66 | $1.66 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Pacific Source Setting Facility Modifier None Typical Low $1.10 Median $1.23 Typical High $1.62 | Facility | None | $1.10 | $1.23 | $1.62 |
Premera BCBS Setting Facility Modifier None Typical Low $0.95 Median $1.20 Typical High $3.09 | Facility | None | $0.95 | $1.20 | $3.09 |
Premera BCBS Setting Professional Modifier None Typical Low $1.29 Median $1.32 Typical High $1.32 | Professional | None | $1.29 | $1.32 | $1.32 |
Regence BlueShield Setting Facility Modifier None Typical Low $1.07 Median $1.29 Typical High $1.82 | Facility | None | $1.07 | $1.29 | $1.82 |
United Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
United Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Wellpoint Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.62 | Professional | None | $1.12 | $1.12 | $1.62 |
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 $0.63 Median $0.69 Typical High $0.69 | Professional | 52 · Reduced service | $0.63 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.27 Typical High $0.27 | Professional | 53 · Discontinued | $0.25 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.19 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.14 | $0.14 |
Where Washington sits
The same service costs 1.7 times more in Arizona than in Oklahoma. 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
$1.32
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.