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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | None | $18.20 | $19.95 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.38 Median $22.39 Typical High $30.90 | Facility | None | $17.38 | $22.39 | $30.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | None | $18.20 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $27.54 Typical High $35.48 | Facility | None | $18.62 | $27.54 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $15.14 Median $18.62 Typical High $54.95 | Facility | None | $15.14 | $18.62 | $54.95 |
Premera BCBS Setting Facility Modifier None Typical Low $15.14 Median $18.62 Typical High $45.71 | Facility | None | $15.14 | $18.62 | $45.71 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.14 Median $21.38 Typical High $30.90 | Facility | None | $15.14 | $21.38 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | None | $18.20 | $19.95 | $19.95 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | None | $19.50 | $19.50 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | None | $18.62 | $18.62 | $23.44 |
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 $9.12 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $9.12 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.63 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.75 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.82 | $2.00 | $2.00 |
Where Washington sits
The same service costs 2.1 times more in Oklahoma than in Florida. 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· 27th of 51
$19.95
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.