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 $66.07 Median $66.07 Typical High $69.18 | Facility | None | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $67.61 | Professional | None | $61.66 | $66.07 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $91.20 | Facility | None | $22.39 | $33.88 | $91.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $257.04 | Professional | None | $66.07 | $66.07 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $89.13 Typical High $117.49 | Facility | None | $51.29 | $89.13 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $112.20 | Professional | None | $57.54 | $74.13 | $112.20 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $109.65 | Professional | None | $51.29 | $61.66 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $42.66 Typical High $46.77 | Facility | None | $39.81 | $42.66 | $46.77 |
Premera BCBS Setting Facility Modifier None Typical Low $13.49 Median $32.36 Typical High $91.20 | Facility | None | $13.49 | $32.36 | $91.20 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $91.20 | Facility | None | $19.50 | $28.84 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | None | $63.10 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | None | $56.23 | $56.23 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $79.43 | Professional | None | $51.29 | $60.26 | $79.43 |
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 $30.20 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $30.20 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.02 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $9.12 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.03 | $6.61 | $6.61 |
Where Washington sits
The same service costs 2.0 times more in Wyoming 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· 7th of 51
$61.66
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.