How much rates vary
Facilitymedian $145 · 10th to 90th $117 to $251Professionalmedian $129 · 10th to 90th $63 to $316
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | None | $89.13 | $100.00 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $154.88 | Facility | None | $114.82 | $144.54 | $154.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $933.25 Typical High $1,318.26 | Professional | None | $128.82 | $933.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $95.50 | Facility | None | $87.10 | $87.10 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Kaiser Permanente Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $269.15 | Facility | None | $141.25 | $181.97 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $309.03 | Professional | None | $134.90 | $181.97 | $309.03 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $125.89 | Professional | None | $102.33 | $114.82 | $125.89 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $147.91 | Facility | None | $117.49 | $138.04 | $147.91 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $288.40 | Facility | None | $128.82 | $128.82 | $288.40 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None | $123.03 | $123.03 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $158.49 | Professional | None | $120.23 | $128.82 | $158.49 |
United Setting Facility Modifier None Typical Low $69.18 Median $223.87 Typical High $223.87 | Facility | None | $69.18 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $134.90 | Professional | None | $64.57 | $69.18 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $229.09 | Professional | None | $83.18 | $107.15 | $229.09 |
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 $44.67 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $17.78 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $13.49 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.91 | $10.00 | $10.00 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | NR · New when rented | $128.82 | $128.82 | $128.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | NR · New when rented | $123.03 | $123.03 | $144.54 |
Where Washington sits
The same service costs 2.5 times more in Arkansas 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· 10th of 51
$129
AR $158FL $64.57
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.