How much rates vary
Facilitymedian $174 · 10th to 90th $112 to $339Professionalmedian $170 · 10th to 90th $95 to $339
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $251.19 | Facility | None | $112.20 | $186.21 | $251.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $100.00 Median $1,737.80 Typical High $1,778.28 | Professional | None | $100.00 | $1,737.80 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Kaiser Permanente Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $208.93 | Facility | None | $112.20 | $141.25 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $295.12 | Professional | None | $112.20 | $144.54 | $295.12 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $346.74 | Professional | None | $251.19 | $316.23 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $338.84 | Facility | None | $114.82 | $173.78 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $223.87 | Facility | None | $131.83 | $173.78 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $181.97 | Facility | None | $112.20 | $112.20 | $181.97 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $288.40 | Professional | None | $100.00 | $123.03 | $288.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $295.12 | Professional | None | $114.82 | $186.21 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $239.88 | Professional | None | $83.18 | $177.83 | $239.88 |
4 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 $69.18 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 49th of 51
$174
HI $417UT $162
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.