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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | None | $17.38 | $21.88 | $21.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $23.99 Typical High $43.65 | Facility | None | $19.05 | $23.99 | $43.65 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | None | $162.18 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $30.90 | Facility | None | $28.18 | $28.18 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $58.88 | Professional | None | $22.91 | $46.77 | $58.88 |
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 $35.48 Median $42.66 Typical High $53.70 | Facility | None | $35.48 | $42.66 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | NR · New when rented | $29.51 | $29.51 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | NR · New when rented | $29.51 | $29.51 | $29.51 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.20 Median $33.11 Typical High $46.77 | Facility | None | $30.20 | $33.11 | $46.77 |
United Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $23.44 | Professional | None | $13.80 | $14.13 | $23.44 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $47.86 Typical High $54.95 | Professional | None | $22.39 | $47.86 | $54.95 |
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 $8.71 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $8.71 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.47 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $2.57 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.74 | $2.19 | $2.19 |
Where Washington sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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
$28.18
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.