How much rates vary
Facilitymedian $85 · 10th to 90th $69 to $148Professionalmedian $76 · 10th to 90th $47 to $151
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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | None | $52.48 | $58.88 | $58.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Facility | None | $75.86 | $85.11 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $691.83 | Professional | None | $75.86 | $75.86 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Kaiser Permanente Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $158.49 | Facility | None | $83.18 | $107.15 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $194.98 | Professional | None | $79.43 | $107.15 | $194.98 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $74.13 | Professional | None | $60.26 | $67.61 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $87.10 | Facility | None | $69.18 | $85.11 | $87.10 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $169.82 | Facility | None | $75.86 | $75.86 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $93.33 | Professional | None | $70.79 | $75.86 | $93.33 |
United Setting Facility Modifier None Typical Low $60.26 Median $141.25 Typical High $141.25 | Facility | None | $60.26 | $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 $61.66 Typical High $134.90 | Professional | None | $53.70 | $61.66 | $134.90 |
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 $26.30 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $26.30 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $10.47 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $7.94 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.25 | $5.89 | $5.89 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | NR · New when rented | $75.86 | $75.86 | $75.86 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | NR · New when rented | $72.44 | $72.44 | $85.11 |
Where Washington sits
The same service costs 3.5 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· 16th of 51
$75.86
HI $166NJ $46.77
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.