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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $22.91 | Professional | None | $20.89 | $22.91 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $61.66 | Facility | None | $20.89 | $38.90 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $125.89 | Professional | None | $22.91 | $22.91 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $31.62 Typical High $41.69 | Facility | None | $27.54 | $31.62 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $38.90 | Professional | None | $20.42 | $25.70 | $38.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | None | $30.20 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $56.23 Typical High $60.26 | Facility | None | $18.62 | $56.23 | $60.26 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $40.74 Typical High $93.33 | Facility | None | $23.99 | $40.74 | $93.33 |
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 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $61.66 | Facility | None | $22.91 | $38.90 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | None | $21.88 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | None | $29.51 | $29.51 | $31.62 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | None | $20.89 | $27.54 | $27.54 |
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 $10.47 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $10.47 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.17 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.16 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $2.09 | $2.29 | $2.29 |
Where Washington sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 28th of 51
$22.91
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.