How much rates vary
Facilitymedian $20 · 10th to 90th $17 to $35Professionalmedian $18 · 10th to 90th $10 to $46
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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $22.39 | Facility | None | $16.60 | $19.95 | $22.39 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $18.20 Median $131.83 Typical High $151.36 | Professional | None | $18.20 | $131.83 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $14.45 | Facility | None | $13.49 | $13.49 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.49 | Professional | None | $9.77 | $9.77 | $13.49 |
Kaiser Permanente Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $38.02 | Facility | None | $19.95 | $25.12 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $43.65 | Professional | None | $19.05 | $25.70 | $43.65 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | None | $14.45 | $16.22 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $20.89 | Facility | None | $16.60 | $19.50 | $20.89 |
Premera BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $40.74 | Facility | None | $18.20 | $18.20 | $40.74 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $18.20 Typical High $22.39 | Professional | None | $16.98 | $18.20 | $22.39 |
United Setting Facility Modifier None Typical Low $9.77 Median $32.36 Typical High $32.36 | Facility | None | $9.77 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $19.05 | Professional | None | $9.12 | $9.77 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $32.36 | Professional | None | $11.48 | $14.79 | $32.36 |
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 $6.31 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.31 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.51 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $1.86 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.41 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.26 | $1.41 | $1.41 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | NR · New when rented | $18.20 | $18.20 | $18.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | NR · New when rented | $17.38 | $17.38 | $20.42 |
Where Washington sits
The same service costs 2.5 times more in Arkansas than in Kansas. 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
$18.20
AR $22.91KS $9.12
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.