How much rates vary
Facilitymedian $1,023 · 10th to 90th $832 to $1,778Professionalmedian $912 · 10th to 90th $513 to $2,188
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $707.95 | Professional | None | $616.60 | $707.95 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,202.26 | Facility | None | $912.01 | $1,023.29 | $1,202.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $7,079.46 Typical High $10,471.29 | Professional | None | $912.01 | $7,079.46 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Facility | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,862.09 | Facility | None | $1,000.00 | $1,258.93 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,290.87 | Professional | None | $954.99 | $1,288.25 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $870.96 | Professional | None | $724.44 | $794.33 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,122.02 | Facility | None | $831.76 | $1,023.29 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $2,041.74 | Facility | None | $912.01 | $912.01 | $2,041.74 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Professional | None | $870.96 | $870.96 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,122.02 | Professional | None | $851.14 | $912.01 | $1,122.02 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $1,659.59 | Facility | None | $691.83 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $1,000.00 | Professional | None | $489.78 | $512.86 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,584.89 | Professional | None | $616.60 | $741.31 | $1,584.89 |
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 $323.59 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $128.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $70.79 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | NR · New when rented | $912.01 | $912.01 | $912.01 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $870.96 Median $870.96 Typical High $1,000.00 | Professional | NR · New when rented | $870.96 | $870.96 | $1,000.00 |
Where Washington sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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· 12th of 51
$912
HI $1,738MS $513
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.