How much rates vary
Facilitymedian $331 · 10th to 90th $269 to $575Professionalmedian $295 · 10th to 90th $166 to $676
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $229.09 | Professional | None | $204.17 | $229.09 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $331.13 | Facility | None | $251.19 | $323.59 | $331.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $2,137.96 Typical High $2,187.76 | Professional | None | $295.12 | $2,137.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Facility | None | $223.87 | $223.87 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None | $165.96 | $165.96 | $223.87 |
Kaiser Permanente Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $602.56 | Facility | None | $323.59 | $407.38 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $645.65 | Professional | None | $309.03 | $416.87 | $645.65 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $281.84 | Professional | None | $234.42 | $257.04 | $281.84 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $288.40 Typical High $338.84 | Facility | None | $269.15 | $288.40 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $660.69 | Facility | None | $295.12 | $295.12 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | None | $281.84 | $281.84 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $363.08 | Professional | None | $275.42 | $295.12 | $363.08 |
United Setting Facility Modifier None Typical Low $208.93 Median $467.74 Typical High $467.74 | Facility | None | $208.93 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $281.84 | Professional | None | $138.04 | $144.54 | $281.84 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $512.86 | Professional | None | $173.78 | $239.88 | $512.86 |
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 $100.00 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $30.20 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $22.91 | $22.91 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | NR · New when rented | $295.12 | $295.12 | $295.12 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | NR · New when rented | $281.84 | $281.84 | $323.59 |
Where Washington sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 9th of 51
$295
HI $525DC $155
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.