How much rates vary
Facilitymedian $39 · 10th to 90th $29 to $68Professionalmedian $35 · 10th to 90th $16 to $66
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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $26.92 | Professional | None | $17.78 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $34.67 Typical High $38.90 | Facility | None | $26.30 | $34.67 | $38.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $251.19 | Professional | None | $34.67 | $34.67 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None | $16.22 | $16.22 | $22.39 |
Kaiser Permanente Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $72.44 | Facility | None | $38.02 | $47.86 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $72.44 | Professional | None | $36.31 | $47.86 | $72.44 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $43.65 | Professional | None | $34.67 | $38.90 | $43.65 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $39.81 | Facility | None | $30.20 | $35.48 | $39.81 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $77.62 | Facility | None | $34.67 | $34.67 | $77.62 |
Premera BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $42.66 | Professional | None | $32.36 | $34.67 | $42.66 |
United Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $48.98 | Facility | None | $28.18 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $29.51 | Professional | None | $14.13 | $14.79 | $29.51 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $61.66 | Professional | None | $18.62 | $28.18 | $61.66 |
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 $12.02 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.02 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.63 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.40 | $2.69 | $2.69 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | NR · New when rented | $34.67 | $34.67 | $34.67 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | NR · New when rented | $33.11 | $33.11 | $38.90 |
Where Washington sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 5th of 51
$34.67
HI $60.26FL $16.22
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.