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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | None | $31.62 | $35.48 | $35.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $31.62 Median $64.57 Typical High $97.72 | Facility | None | $31.62 | $64.57 | $97.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $35.48 Median $165.96 Typical High $169.82 | Professional | None | $35.48 | $165.96 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $63.10 | Facility | None | $38.02 | $42.66 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $58.88 | Professional | None | $31.62 | $38.90 | $58.88 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $42.66 | Professional | None | $35.48 | $39.81 | $42.66 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Premera BCBS Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $123.03 | Facility | None | $43.65 | $56.23 | $123.03 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $97.72 | Facility | None | $35.48 | $64.57 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | None | $35.48 | $35.48 | $38.02 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $41.69 | Professional | None | $31.62 | $38.02 | $41.69 |
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 $15.85 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.85 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $4.79 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.24 | $3.55 | $3.55 |
Where Washington sits
The same service costs 1.7 times more in Hawaii 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· 20th of 51
$35.48
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.