How much rates vary
Facilitymedian $575 · 10th to 90th $380 to $1,122Professionalmedian $575 · 10th to 90th $324 to $1,023
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $831.76 | Professional | None | $457.09 | $457.09 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $851.14 | Facility | None | $380.19 | $645.65 | $851.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $346.74 Median $954.99 Typical High $6,456.54 | Professional | None | $346.74 | $954.99 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Kaiser Permanente Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $724.44 | Facility | None | $380.19 | $478.63 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $1,023.29 | Professional | None | $380.19 | $501.19 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,122.02 | Professional | None | $912.01 | $1,023.29 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $1,122.02 | Facility | None | $398.11 | $588.84 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $776.25 | Facility | None | $457.09 | $575.44 | $776.25 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | None | $323.59 | $323.59 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $602.56 | Facility | None | $380.19 | $380.19 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $954.99 | Professional | None | $346.74 | $426.58 | $954.99 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,000.00 | Professional | None | $398.11 | $630.96 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $616.60 Typical High $741.31 | Professional | None | $281.84 | $616.60 | $741.31 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
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· 50th of 51
$575
HI $1,445UT $550
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.