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 $41.69 Median $41.69 Typical High $46.77 | Facility | None | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | None | $38.02 | $41.69 | $41.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $56.23 | Facility | None | $34.67 | $41.69 | $56.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $162.18 | Professional | None | $41.69 | $41.69 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $56.23 Typical High $72.44 | Facility | None | $37.15 | $56.23 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $69.18 | Professional | None | $37.15 | $46.77 | $69.18 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $51.29 | Professional | None | $37.15 | $40.74 | $51.29 |
Pacific Source Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $109.65 | Facility | None | $34.67 | $36.31 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $95.50 | Facility | None | $30.20 | $35.48 | $95.50 |
Premera BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $56.23 | Facility | None | $34.67 | $41.69 | $56.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | None | $38.02 | $41.69 | $41.69 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | None | $37.15 | $37.15 | $38.90 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $48.98 | Professional | None | $37.15 | $38.02 | $48.98 |
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 $18.62 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $5.62 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.80 | $4.17 | $4.17 |
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
$40.74
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.