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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | None | $18.62 | $20.42 | $20.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $18.62 Median $60.26 Typical High $81.28 | Facility | None | $18.62 | $60.26 | $81.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $36.31 | Facility | None | $20.89 | $20.89 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $100.00 | Professional | None | $18.62 | $23.44 | $100.00 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $28.18 | Professional | None | $20.42 | $22.39 | $28.18 |
Pacific Source Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $50.12 | Facility | None | $26.30 | $26.30 | $50.12 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $46.77 Typical High $117.49 | Facility | None | $30.90 | $46.77 | $117.49 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $81.28 | Facility | None | $40.74 | $57.54 | $81.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | None | $20.42 | $20.42 | $21.38 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $23.99 | Professional | None | $18.62 | $20.89 | $23.99 |
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 $9.33 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $9.33 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.72 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.75 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.86 | $2.04 | $2.04 |
Where Washington sits
The same service costs 1.8 times more in Hawaii than in Ohio. 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· 16th of 51
$20.42
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.