How much rates vary
Facilitymedian $98 · 10th to 90th $79 to $170Professionalmedian $87 · 10th to 90th $54 to $224
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | None | $60.26 | $67.61 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $112.20 | Facility | None | $83.18 | $97.72 | $112.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $87.10 Median $691.83 Typical High $794.33 | Professional | None | $87.10 | $691.83 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Facility | None | $72.44 | $72.44 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
Kaiser Permanente Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $181.97 | Facility | None | $97.72 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | None | $93.33 | $125.89 | $218.78 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $85.11 | Professional | None | $69.18 | $77.62 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $79.43 Median $97.72 Typical High $100.00 | Facility | None | $79.43 | $97.72 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $199.53 | Facility | None | $89.13 | $89.13 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None | $83.18 | $83.18 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $107.15 | Professional | None | $83.18 | $87.10 | $107.15 |
United Setting Facility Modifier None Typical Low $64.57 Median $158.49 Typical High $158.49 | Facility | None | $64.57 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $95.50 | Professional | None | $45.71 | $48.98 | $95.50 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $154.88 | Professional | None | $60.26 | $72.44 | $154.88 |
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 $30.20 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $9.12 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.03 | $6.76 | $6.76 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | NR · New when rented | $89.13 | $89.13 | $89.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | NR · New when rented | $83.18 | $83.18 | $97.72 |
Where Washington sits
The same service costs 3.2 times more in Hawaii than in Florida. 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· 11th of 51
$89.13
HI $166FL $52.48
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.