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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | None | $70.79 | $77.62 | $77.62 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $138.04 | Facility | None | $70.79 | $104.71 | $138.04 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | None | $70.79 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $138.04 | Facility | None | $74.13 | $107.15 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $154.88 | Professional | None | $69.18 | $87.10 | $154.88 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | None | $74.13 | $81.28 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $229.09 | Facility | None | $69.18 | $87.10 | $229.09 |
Premera BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $138.04 | Facility | None | $77.62 | $93.33 | $138.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | None | $72.44 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $91.20 | Professional | None | $70.79 | $74.13 | $91.20 |
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 $35.48 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.13 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $10.47 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.08 | $7.76 | $7.76 |
Where Washington sits
The same service costs 1.5 times more in Wyoming 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· 9th of 51
$77.62
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.