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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | None | $64.57 | $83.18 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $162.18 | Facility | None | $70.79 | $89.13 | $162.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $707.95 | Professional | None | $588.84 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $218.78 | Professional | None | $87.10 | $173.78 | $218.78 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $104.71 | Professional | None | $54.95 | $61.66 | $104.71 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $134.90 Typical High $162.18 | Facility | None | $63.10 | $134.90 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | NR · New when rented | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | NR · New when rented | $112.20 | $112.20 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $177.83 | Facility | None | $114.82 | $123.03 | $177.83 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $87.10 | Professional | None | $52.48 | $52.48 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $123.03 | Professional | None | $38.90 | $57.54 | $123.03 |
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 $32.36 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $32.36 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $12.88 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $9.77 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.46 | $8.32 | $8.32 |
Where Washington sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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· 5th of 51
$83.18
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.