How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,230 to $2,630Professionalmedian $1,349 · 10th to 90th $832 to $2,692
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $933.25 | $1,047.13 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,698.24 | Facility | None | $1,288.25 | $1,513.56 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $13,489.63 | Professional | None | $1,348.96 | $1,348.96 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,513.56 | $1,905.46 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,311.31 | Professional | None | $1,445.44 | $1,949.84 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,202.26 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,230.27 | $1,479.11 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,019.95 | Facility | None | $1,380.38 | $1,380.38 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,288.25 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,348.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $2,398.83 | Facility | None | $1,258.93 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,445.44 | Professional | None | $707.95 | $741.31 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,398.83 | Professional | None | $912.01 | $1,122.02 | $2,398.83 |
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 $467.74 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $467.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $93.33 | $104.71 | $104.71 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | NR · New when rented | $1,380.38 | $1,380.38 | $1,380.38 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | NR · New when rented | $1,288.25 | $1,288.25 | $1,513.56 |
Where Washington sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 14th of 51
$1,349
HI $3,236WV $832
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.