How much rates vary
Facilitymedian $123 · 10th to 90th $100 to $214Professionalmedian $110 · 10th to 90th $55 to $251
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | None | $75.86 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $123.03 | Facility | None | $91.20 | $123.03 | $123.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $109.65 Median $707.95 Typical High $831.76 | Professional | None | $109.65 | $707.95 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | None | $75.86 | $75.86 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | None | $54.95 | $54.95 | $75.86 |
Kaiser Permanente Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $229.09 | Facility | None | $123.03 | $154.88 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $239.88 | Professional | None | $117.49 | $158.49 | $239.88 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | None | $87.10 | $97.72 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $125.89 | Facility | None | $100.00 | $123.03 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
Premera BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $134.90 | Professional | None | $102.33 | $109.65 | $134.90 |
United Setting Facility Modifier None Typical Low $72.44 Median $177.83 Typical High $177.83 | Facility | None | $72.44 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $104.71 | Professional | None | $51.29 | $53.70 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $194.98 | Professional | None | $66.07 | $91.20 | $194.98 |
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 $38.02 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.14 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $11.48 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.59 | $8.51 | $8.51 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | NR · New when rented | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | NR · New when rented | $104.71 | $104.71 | $123.03 |
Where Washington sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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· 8th of 51
$110
HI $170NJ $54.95
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.