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 $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Professional | None | $162.18 | $177.83 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $309.03 | Facility | None | $162.18 | $229.09 | $309.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None | $162.18 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $316.23 | Facility | None | $169.82 | $239.88 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $338.84 | Professional | None | $158.49 | $199.53 | $338.84 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $194.98 | Professional | None | $169.82 | $186.21 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $524.81 | Facility | None | $162.18 | $208.93 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $309.03 | Facility | None | $181.97 | $218.78 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None | $162.18 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | None | $177.83 | $177.83 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $208.93 | Professional | None | $162.18 | $169.82 | $208.93 |
5 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 $79.43 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $23.99 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.85 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | JZ · No drug discarded | $229.09 | $229.09 | $239.88 |
Where Washington sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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· 13th of 51
$178
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.