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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | None | $23.99 | $30.20 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $60.26 | Facility | None | $26.30 | $33.11 | $60.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | None | $218.78 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $64.57 Typical High $81.28 | Professional | None | $31.62 | $64.57 | $81.28 |
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 $48.98 Median $58.88 Typical High $93.33 | Facility | None | $48.98 | $58.88 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | NR · New when rented | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | NR · New when rented | $40.74 | $40.74 | $40.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $64.57 | Facility | None | $41.69 | $45.71 | $64.57 |
United Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $32.36 | Professional | None | $19.50 | $19.50 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $117.49 | Professional | None | $54.95 | $67.61 | $117.49 |
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 $12.02 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $12.02 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $4.79 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $3.63 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.40 | $3.02 | $3.02 |
Where Washington sits
The same service costs 8.9 times more in North Dakota 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· 14th 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.