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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | None | $21.38 | $26.92 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $53.70 | Facility | None | $23.44 | $29.51 | $53.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $234.42 | Professional | None | $194.98 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Facility | None | $27.54 | $27.54 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $72.44 | Professional | None | $28.18 | $57.54 | $72.44 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $60.26 | Professional | None | $44.67 | $50.12 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $52.48 | Facility | None | $41.69 | $43.65 | $52.48 |
Premera BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | NR · New when rented | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | NR · New when rented | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $57.54 | Facility | None | $37.15 | $40.74 | $57.54 |
United Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $28.84 | Professional | None | $17.38 | $17.38 | $28.84 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $85.11 | Professional | None | $38.90 | $39.81 | $85.11 |
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 $10.72 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.24 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.14 | $2.69 | $2.69 |
Where Washington sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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
$36.31
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.