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 $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.51 Typical High $2.51 | Professional | None | $2.29 | $2.51 | $2.51 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.19 Median $2.75 Typical High $3.80 | Facility | None | $2.19 | $2.75 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $4.57 | Facility | None | $3.02 | $3.02 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Pacific Source Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Premera BCBS Setting Facility Modifier None Typical Low $1.86 Median $2.24 Typical High $5.75 | Facility | None | $1.86 | $2.24 | $5.75 |
Premera BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | None | $2.57 | $2.63 | $2.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $2.19 Median $2.57 Typical High $3.80 | Facility | None | $2.19 | $2.57 | $3.80 |
United Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Wellpoint Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | None | $2.24 | $2.24 | $3.02 |
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 $1.15 Median $1.26 Typical High $1.26 | Professional | 52 · Reduced service | $1.15 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.46 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.38 Typical High $0.38 | Professional | 55 · Aftercare only | $0.35 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.23 | $0.25 | $0.25 |
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· 17th of 51
$2.51
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.