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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | None | $45.71 | $47.86 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $77.62 | Facility | None | $57.54 | $72.44 | $77.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $389.05 Typical High $562.34 | Professional | None | $64.57 | $389.05 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Kaiser Permanente Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $134.90 | Facility | None | $70.79 | $91.20 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $151.36 | Professional | None | $67.61 | $91.20 | $151.36 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $77.62 | Facility | None | $67.61 | $74.13 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $144.54 | Facility | None | $64.57 | $64.57 | $144.54 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | NR · New when rented | $64.57 | $64.57 | $64.57 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | None | $61.66 | $61.66 | $72.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | NR · New when rented | $61.66 | $61.66 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $79.43 | Professional | None | $61.66 | $64.57 | $79.43 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $66.07 | Professional | None | $33.88 | $33.88 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $114.82 | Professional | None | $42.66 | $53.70 | $114.82 |
2 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 55 · Aftercare only Typical Low $6.76 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.76 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.47 | $4.79 | $4.79 |
Where Washington sits
The same service costs 2.2 times more in Montana than in West Virginia. 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.