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 $64.57 Median $64.57 Typical High $67.61 | Facility | None | $64.57 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | None | $58.88 | $64.57 | $64.57 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $112.20 | Facility | None | $58.88 | $79.43 | $112.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $316.23 | Professional | None | $64.57 | $64.57 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $114.82 | Facility | None | $61.66 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $107.15 | Professional | None | $57.54 | $72.44 | $107.15 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $81.28 | Professional | None | $58.88 | $66.07 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $112.20 | Facility | None | $61.66 | $104.71 | $112.20 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $186.21 | Facility | None | $56.23 | $72.44 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $112.20 | Facility | None | $64.57 | $79.43 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | None | $60.26 | $64.57 | $64.57 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None | $60.26 | $60.26 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | None | $58.88 | $61.66 | $75.86 |
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 $28.84 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $28.84 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $11.75 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.71 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.89 | $6.46 | $6.46 |
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· 11th of 51
$64.57
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.