How much rates vary
Facilitymedian $138 · 10th to 90th $112 to $240Professionalmedian $123 · 10th to 90th $65 to $324
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | None | $85.11 | $95.50 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $165.96 | Facility | None | $123.03 | $138.04 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $123.03 Median $912.01 Typical High $1,445.44 | Professional | None | $123.03 | $912.01 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
Kaiser Permanente Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $251.19 | Facility | None | $134.90 | $169.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $316.23 | Professional | None | $128.82 | $173.78 | $316.23 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $117.49 | Professional | None | $97.72 | $107.15 | $117.49 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $141.25 | Facility | None | $112.20 | $138.04 | $141.25 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $275.42 | Facility | None | $123.03 | $123.03 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | None | $117.49 | $117.49 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | None | $114.82 | $123.03 | $151.36 |
United Setting Facility Modifier None Typical Low $87.10 Median $229.09 Typical High $229.09 | Facility | None | $87.10 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $138.04 | Professional | None | $66.07 | $70.79 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $213.80 | Professional | None | $83.18 | $100.00 | $213.80 |
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 $42.66 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.51 | $9.55 | $9.55 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | NR · New when rented | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | NR · New when rented | $117.49 | $117.49 | $134.90 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in Florida. 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
$123
HI $186FL $70.79
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.