How much rates vary
Facilitymedian $69 · 10th to 90th $56 to $117Professionalmedian $62 · 10th to 90th $30 to $145
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | None | $43.65 | $47.86 | $47.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $67.61 Typical High $70.79 | Facility | None | $53.70 | $67.61 | $70.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $407.38 Typical High $478.63 | Professional | None | $61.66 | $407.38 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $40.74 | Professional | None | $29.51 | $29.51 | $40.74 |
Kaiser Permanente Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $128.82 | Facility | None | $67.61 | $85.11 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $138.04 | Professional | None | $64.57 | $87.10 | $138.04 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | None | $48.98 | $54.95 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $77.62 | Facility | None | $56.23 | $69.18 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $138.04 | Facility | None | $61.66 | $61.66 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | None | $58.88 | $58.88 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $75.86 | Professional | None | $57.54 | $61.66 | $75.86 |
United Setting Facility Modifier None Typical Low $40.74 Median $102.33 Typical High $102.33 | Facility | None | $40.74 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $60.26 | Professional | None | $29.51 | $30.90 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $109.65 | Professional | None | $37.15 | $50.12 | $109.65 |
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 $21.88 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.91 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.37 | $4.79 | $4.79 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | NR · New when rented | $61.66 | $61.66 | $61.66 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | NR · New when rented | $58.88 | $58.88 | $69.18 |
Where Washington sits
The same service costs 2.7 times more in Montana 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· 10th of 51
$61.66
MT $83.18DE $30.90
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.