How much rates vary
Facilitymedian $724 · 10th to 90th $537 to $1,259Professionalmedian $646 · 10th to 90th $275 to $1,413
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $501.19 | Professional | None | $446.68 | $501.19 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $724.44 | Facility | None | $512.86 | $676.08 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $4,265.80 Typical High $4,466.84 | Professional | None | $645.65 | $4,265.80 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Kaiser Permanente Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $1,348.96 | Facility | None | $707.95 | $912.01 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,348.96 | Professional | None | $676.08 | $912.01 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $630.96 | Professional | None | $512.86 | $575.44 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $630.96 Typical High $741.31 | Facility | None | $588.84 | $630.96 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,445.44 | Facility | None | $645.65 | $645.65 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | None | $616.60 | $616.60 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $794.33 | Professional | None | $602.56 | $645.65 | $794.33 |
United Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $954.99 | Facility | None | $467.74 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $562.34 | Professional | None | $275.42 | $288.40 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $1,148.15 | Professional | None | $363.08 | $537.03 | $1,148.15 |
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 $223.87 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $223.87 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $44.67 | $50.12 | $50.12 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | NR · New when rented | $645.65 | $645.65 | $645.65 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | NR · New when rented | $616.60 | $616.60 | $724.44 |
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· 8th of 51
$646
HI $1,023FL $275
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.