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 $63.10 Median $63.10 Typical High $66.07 | Facility | None | $63.10 | $63.10 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $66.07 | Professional | None | $57.54 | $63.10 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $81.28 | Facility | None | $51.29 | $63.10 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $245.47 | Professional | None | $63.10 | $63.10 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $109.65 | Facility | None | $54.95 | $87.10 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $104.71 | Professional | None | $56.23 | $70.79 | $104.71 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $70.79 | Professional | None | $57.54 | $60.26 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $114.82 | Facility | None | $54.95 | $54.95 | $114.82 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $138.04 | Facility | None | $43.65 | $57.54 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $81.28 | Facility | None | $51.29 | $63.10 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | None | $58.88 | $63.10 | $63.10 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | None | $54.95 | $54.95 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | None | $54.95 | $57.54 | $74.13 |
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 $28.84 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.75 | $6.31 | $6.31 |
Where Washington sits
Rates are fairly even across states for this service. 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· 8th of 51
$61.66
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.