How much rates vary
Facilitymedian $107 · 10th to 90th $85 to $182Professionalmedian $93 · 10th to 90th $49 to $186
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None | $64.57 | $74.13 | $74.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $107.15 | Facility | None | $77.62 | $102.33 | $107.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $691.83 | Professional | None | $93.33 | $93.33 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $74.13 | Facility | None | $66.07 | $66.07 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
Kaiser Permanente Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $194.98 | Facility | None | $104.71 | $131.83 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $194.98 | Professional | None | $100.00 | $134.90 | $194.98 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | None | $75.86 | $83.18 | $91.20 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $109.65 | Facility | None | $85.11 | $107.15 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $213.80 | Facility | None | $95.50 | $95.50 | $213.80 |
Premera BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | None | $91.20 | $91.20 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $117.49 | Professional | None | $89.13 | $93.33 | $117.49 |
United Setting Facility Modifier None Typical Low $58.88 Median $144.54 Typical High $144.54 | Facility | None | $58.88 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $85.11 | Professional | None | $41.69 | $43.65 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $165.96 | Professional | None | $53.70 | $77.62 | $165.96 |
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 $32.36 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $13.18 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $9.77 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $7.41 | $7.41 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | NR · New when rented | $95.50 | $95.50 | $95.50 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | NR · New when rented | $91.20 | $91.20 | $104.71 |
Where Washington sits
The same service costs 3.4 times more in Hawaii than in Vermont. 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· 7th of 51
$93.33
HI $166VT $48.98
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.