How much rates vary
Facilitymedian $646 · 10th to 90th $525 to $1,148Professionalmedian $575 · 10th to 90th $309 to $1,318
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | None | $398.11 | $446.68 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $645.65 | Facility | None | $478.63 | $630.96 | $645.65 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,630.78 Typical High $4,677.35 | Professional | None | $575.44 | $3,630.78 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $467.74 | Facility | None | $416.87 | $416.87 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Kaiser Permanente Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,202.26 | Facility | None | $645.65 | $812.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,258.93 | Professional | None | $616.60 | $831.76 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $562.34 | Professional | None | $457.09 | $512.86 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $575.44 Typical High $660.69 | Facility | None | $524.81 | $575.44 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,288.25 | Facility | None | $588.84 | $588.84 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $707.95 | Professional | None | $549.54 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $912.01 | Facility | None | $371.54 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $549.54 | Professional | None | $263.03 | $275.42 | $549.54 |
Wellpoint Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $1,023.29 | Professional | None | $338.84 | $478.63 | $1,023.29 |
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 $199.53 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $44.67 | $44.67 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | NR · New when rented | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | NR · New when rented | $549.54 | $549.54 | $645.65 |
Where Washington sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 9th of 51
$575
HI $871DC $302
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.