How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,318 to $2,818Professionalmedian $1,413 · 10th to 90th $692 to $3,715
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,122.02 | Professional | None | $977.24 | $1,122.02 | $1,122.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,288.25 | $1,584.89 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $8,709.64 Typical High $12,589.25 | Professional | None | $1,412.54 | $8,709.64 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Facility | None | $933.25 | $933.25 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $2,951.21 | Facility | None | $1,584.89 | $1,995.26 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,041.74 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,258.93 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,621.81 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,235.94 | Facility | None | $1,445.44 | $1,445.44 | $3,235.94 |
Premera BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,412.54 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,479.11 | Professional | None | $707.95 | $758.58 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,511.89 | Professional | None | $912.01 | $1,174.90 | $2,511.89 |
6 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 $489.78 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $112.20 | $112.20 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | NR · New when rented | $1,445.44 | $1,445.44 | $1,445.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | NR · New when rented | $1,380.38 | $1,380.38 | $1,584.89 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 11th of 51
$1,445
HI $1,778DE $692
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.