How much rates vary
Facilitymedian $91 · 10th to 90th $74 to $155Professionalmedian $81 · 10th to 90th $46 to $200
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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $102.33 | Facility | None | $75.86 | $91.20 | $102.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $616.60 Typical High $676.08 | Professional | None | $81.28 | $616.60 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | None | $45.71 | $45.71 | $63.10 |
Kaiser Permanente Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $169.82 | Facility | None | $89.13 | $112.20 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $194.98 | Professional | None | $85.11 | $114.82 | $194.98 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | None | $64.57 | $72.44 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $93.33 | Facility | None | $74.13 | $91.20 | $93.33 |
Pacific Source Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $181.97 | Facility | None | $81.28 | $81.28 | $181.97 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $100.00 | Professional | None | $75.86 | $81.28 | $100.00 |
United Setting Facility Modifier None Typical Low $58.88 Median $141.25 Typical High $141.25 | Facility | None | $58.88 | $141.25 | $141.25 |
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 $66.07 Typical High $144.54 | Professional | None | $53.70 | $66.07 | $144.54 |
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 $28.18 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.18 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.22 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.32 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.62 | $6.31 | $6.31 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | NR · New when rented | $81.28 | $81.28 | $81.28 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | NR · New when rented | $77.62 | $77.62 | $91.20 |
Where Washington sits
The same service costs 3.2 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· 15th of 51
$81.28
HI $148NJ $45.71
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.