How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,413 to $3,020Professionalmedian $1,549 · 10th to 90th $1,023 to $4,169
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,202.26 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,737.80 | $2,041.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $11,481.54 Typical High $14,125.38 | Professional | None | $1,548.82 | $11,481.54 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $3,235.94 | Facility | None | $1,698.24 | $2,187.76 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,621.81 | $2,187.76 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,380.38 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,737.80 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,548.82 | $1,548.82 | $3,467.37 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,479.11 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,548.82 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,174.90 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,737.80 | Professional | None | $851.14 | $891.25 | $1,737.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,288.25 | $2,754.23 |
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 $537.03 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $537.03 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $107.15 | $120.23 | $120.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | NR · New when rented | $1,548.82 | $1,548.82 | $1,548.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,479.11 Median $1,479.11 Typical High $1,737.80 | Professional | NR · New when rented | $1,479.11 | $1,479.11 | $1,737.80 |
Where Washington sits
The same service costs 2.7 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· 15th of 51
$1,549
HI $2,630FL $977
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.