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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $1.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $21.38 | Facility | None | $16.22 | $21.38 | $21.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $41.69 | Professional | None | $19.05 | $26.30 | $41.69 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $21.38 Typical High $21.88 | Facility | None | $19.05 | $21.38 | $21.88 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $58.88 | Facility | None | $25.12 | $37.15 | $58.88 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.98 | Professional | None | $9.77 | $9.77 | $16.98 |
Wellpoint Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $26.92 | Professional | None | $19.05 | $26.92 | $26.92 |
Where Washington sits
The same service costs 3.0 times more in Montana than in New York. 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· 14th of 51
$17.78
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.