How much rates vary
Facilitymedian $126 · 10th to 90th $102 to $219Professionalmedian $112 · 10th to 90th $56 to $275
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | None | $72.44 | $87.10 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $141.25 | Facility | None | $104.71 | $125.89 | $141.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $112.20 Median $794.33 Typical High $1,071.52 | Professional | None | $112.20 | $794.33 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $100.00 | Facility | None | $77.62 | $77.62 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | None | $56.23 | $56.23 | $77.62 |
Kaiser Permanente Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $229.09 | Facility | None | $123.03 | $154.88 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $269.15 | Professional | None | $117.49 | $158.49 | $269.15 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $107.15 | Professional | None | $89.13 | $97.72 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $128.82 | Facility | None | $102.33 | $125.89 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $251.19 | Facility | None | $112.20 | $112.20 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | None | $107.15 | $107.15 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $138.04 | Professional | None | $104.71 | $112.20 | $138.04 |
United Setting Facility Modifier None Typical Low $81.28 Median $199.53 Typical High $199.53 | Facility | None | $81.28 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $120.23 | Professional | None | $57.54 | $60.26 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $194.98 | Professional | None | $75.86 | $91.20 | $194.98 |
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 $38.02 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $38.02 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $11.48 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.76 | $8.71 | $8.71 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | NR · New when rented | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | NR · New when rented | $107.15 | $107.15 | $123.03 |
Where Washington sits
The same service costs 3.1 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· 12th of 51
$112
HI $174DE $56.23
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.