How much rates vary
Facilitymedian $83 · 10th to 90th $68 to $145Professionalmedian $74 · 10th to 90th $45 to $186
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | None | $51.29 | $57.54 | $57.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $95.50 | Facility | None | $70.79 | $83.18 | $95.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $74.13 Median $467.74 Typical High $616.60 | Professional | None | $74.13 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Facility | None | $61.66 | $61.66 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
Kaiser Permanente Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $154.88 | Facility | None | $81.28 | $104.71 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $181.97 | Professional | None | $77.62 | $104.71 | $181.97 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $72.44 | Professional | None | $58.88 | $66.07 | $72.44 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $85.11 | Facility | None | $67.61 | $81.28 | $85.11 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $165.96 | Facility | None | $74.13 | $74.13 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None | $70.79 | $70.79 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $74.13 Typical High $91.20 | Professional | None | $69.18 | $74.13 | $91.20 |
United Setting Facility Modifier None Typical Low $45.71 Median $131.83 Typical High $131.83 | Facility | None | $45.71 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $79.43 | Professional | None | $38.90 | $40.74 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $131.83 | Professional | None | $51.29 | $61.66 | $131.83 |
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 $25.70 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $25.70 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $10.23 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $7.76 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.13 | $5.75 | $5.75 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | NR · New when rented | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | NR · New when rented | $70.79 | $70.79 | $83.18 |
Where Washington sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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
$74.13
HI $112AZ $44.67
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.