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 $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $4.07 | Professional | None | $3.72 | $4.07 | $4.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.09 Median $4.47 Typical High $6.31 | Facility | None | $3.09 | $4.47 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $7.41 | Facility | None | $4.90 | $4.90 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Pacific Source Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Premera BCBS Setting Facility Modifier None Typical Low $3.09 Median $3.55 Typical High $9.77 | Facility | None | $3.09 | $3.55 | $9.77 |
Premera BCBS Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.09 Median $4.27 Typical High $5.75 | Facility | None | $3.09 | $4.27 | $5.75 |
United Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Wellpoint Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | None | $3.63 | $3.63 | $4.79 |
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 $1.86 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.86 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.76 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.56 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.41 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.38 | $0.41 | $0.41 |
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· 45th of 51
$3.72
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.