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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $37.15 | Professional | None | $26.92 | $29.51 | $37.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $60.26 | Facility | None | $26.92 | $30.20 | $60.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $56.23 | Facility | None | $33.88 | $33.88 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Premera BCBS Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $83.18 | Facility | None | $23.44 | $39.81 | $83.18 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $41.69 | Professional | None | $31.62 | $41.69 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $60.26 | Facility | None | $26.92 | $31.62 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None | $27.54 | $27.54 | $34.67 |
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 $13.49 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $13.49 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.37 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.07 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.69 | $2.95 | $2.95 |
Where Washington sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 22nd of 51
$29.51
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.