How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,862 to $3,981Professionalmedian $2,042 · 10th to 90th $871 to $3,981
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,584.89 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,290.87 | Facility | None | $1,584.89 | $2,137.96 | $2,290.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $14,125.38 | Professional | None | $2,041.74 | $2,041.74 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,238.72 | $2,884.03 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,884.03 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,819.70 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,344.23 | Facility | None | $1,862.09 | $2,290.87 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,570.88 | Facility | None | $2,041.74 | $2,041.74 | $4,570.88 |
Premera BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,949.84 | $1,949.84 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,041.74 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,479.11 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,737.80 | Professional | None | $831.76 | $870.96 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $3,630.78 | Professional | None | $1,174.90 | $1,698.24 | $3,630.78 |
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 $707.95 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $707.95 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $281.84 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $141.25 | $158.49 | $158.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | NR · New when rented | $2,041.74 | $2,041.74 | $2,041.74 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | NR · New when rented | $1,949.84 | $1,949.84 | $2,290.87 |
Where Washington sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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
$2,042
HI $3,467PA $871
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.