How much rates vary
Facilitymedian $76 · 10th to 90th $62 to $129Professionalmedian $66 · 10th to 90th $31 to $155
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | None | $45.71 | $52.48 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $77.62 | Facility | None | $57.54 | $74.13 | $77.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $398.11 Typical High $562.34 | Professional | None | $66.07 | $398.11 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Kaiser Permanente Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $138.04 | Facility | None | $74.13 | $93.33 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $151.36 | Professional | None | $70.79 | $95.50 | $151.36 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $64.57 | Professional | None | $53.70 | $58.88 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $77.62 | Facility | None | $61.66 | $75.86 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $151.36 | Facility | None | $67.61 | $67.61 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $83.18 | Professional | None | $63.10 | $66.07 | $83.18 |
United Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $109.65 | Facility | None | $91.20 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $66.07 | Professional | None | $32.36 | $33.88 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $117.49 | Professional | None | $41.69 | $54.95 | $117.49 |
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 $22.91 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $6.92 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.57 | $5.25 | $5.25 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | NR · New when rented | $67.61 | $67.61 | $67.61 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | NR · New when rented | $64.57 | $64.57 | $74.13 |
Where Washington sits
The same service costs 2.9 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· 12th of 51
$66.07
HI $91.20DE $31.62
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.