How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,318 to $3,090Professionalmedian $1,585 · 10th to 90th $631 to $3,090
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,096.48 | $1,230.27 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $1,778.28 | Facility | None | $1,202.26 | $1,584.89 | $1,778.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $13,182.57 | Professional | None | $1,584.89 | $1,584.89 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Facility | None | $851.14 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $851.14 | Professional | None | $630.96 | $630.96 | $851.14 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,737.80 | $2,238.72 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,698.24 | $2,238.72 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,412.54 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,819.70 | Facility | None | $1,348.96 | $1,445.44 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,548.13 | Facility | None | $1,584.89 | $1,584.89 | $3,548.13 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,513.56 | $1,513.56 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,584.89 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,318.26 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,348.96 | Professional | None | $645.65 | $691.83 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,818.38 | Professional | None | $831.76 | $1,318.26 | $2,818.38 |
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 $549.54 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $549.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $218.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $123.03 | $123.03 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | NR · New when rented | $1,584.89 | $1,584.89 | $1,584.89 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | NR · New when rented | $1,513.56 | $1,513.56 | $1,778.28 |
Where Washington sits
The same service costs 5.1 times more in Hawaii than in Delaware. 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· 4th of 51
$1,585
HI $3,236DE $631
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.