How much rates vary
Facilitymedian $204 · 10th to 90th $132 to $407Professionalmedian $200 · 10th to 90th $112 to $398
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | None | $162.18 | $162.18 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $295.12 | Facility | None | $131.83 | $223.87 | $295.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $2,089.30 Typical High $2,089.30 | Professional | None | $120.23 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None | $218.78 | $218.78 | $302.00 |
Kaiser Permanente Setting Facility Modifier None Typical Low $131.83 Median $165.96 Typical High $251.19 | Facility | None | $131.83 | $165.96 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $354.81 | Professional | None | $131.83 | $173.78 | $354.81 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $407.38 | Professional | None | $331.13 | $371.54 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $398.11 | Facility | None | $138.04 | $204.17 | $398.11 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $263.03 | Facility | None | $158.49 | $204.17 | $263.03 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None | $112.20 | $112.20 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $213.80 | Facility | None | $131.83 | $131.83 | $213.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $346.74 | Professional | None | $120.23 | $147.91 | $346.74 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | None | $138.04 | $218.78 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $281.84 | Professional | None | $97.72 | $208.93 | $281.84 |
5 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 $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | RR · Rental | $25.70 | $25.70 | $25.70 |
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
$204
HI $490UT $191
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.