How much rates vary
Facilitymedian $2,512 · 10th to 90th $2,042 to $4,365Professionalmedian $2,239 · 10th to 90th $1,122 to $5,370
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,737.80 | $1,737.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,041.74 | $2,511.89 | $2,691.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $15,488.17 Typical High $18,197.01 | Professional | None | $2,238.72 | $15,488.17 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,677.35 | Facility | None | $2,454.71 | $3,090.30 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,162.28 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $2,187.76 | Professional | None | $1,778.28 | $1,949.84 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,630.27 | Facility | None | $2,041.74 | $2,511.89 | $2,630.27 |
Pacific Source Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $5,011.87 | Facility | None | $2,238.72 | $2,238.72 | $5,011.87 |
Premera BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,137.96 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,238.72 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $3,801.89 | Facility | None | $1,659.59 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,174.90 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,981.07 | Professional | None | $1,479.11 | $1,819.70 | $3,981.07 |
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 $776.25 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $309.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $154.88 | $173.78 | $173.78 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | NR · New when rented | $2,238.72 | $2,238.72 | $2,238.72 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | NR · New when rented | $2,137.96 | $2,137.96 | $2,511.89 |
Where Washington sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 11th of 51
$2,239
HI $3,467DE $1,122
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.