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 $47.86 Median $47.86 Typical High $50.12 | Facility | None | $47.86 | $47.86 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $48.98 | Professional | None | $43.65 | $47.86 | $48.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $64.57 | Facility | None | $39.81 | $47.86 | $64.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | None | $43.65 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $83.18 | Facility | None | $42.66 | $66.07 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $81.28 | Professional | None | $41.69 | $52.48 | $81.28 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $57.54 | Professional | None | $43.65 | $46.77 | $57.54 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $87.10 | Facility | None | $41.69 | $52.48 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $40.74 Typical High $107.15 | Facility | None | $34.67 | $40.74 | $107.15 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $64.57 | Facility | None | $39.81 | $47.86 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | None | $44.67 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None | $42.66 | $42.66 | $44.67 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $56.23 | Professional | None | $42.66 | $43.65 | $56.23 |
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 $21.88 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.37 | $4.79 | $4.79 |
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· 12th of 51
$44.67
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.