How much rates vary
Facilitymedian $851 · 10th to 90th $692 to $1,479Professionalmedian $759 · 10th to 90th $417 to $1,995
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $588.84 | Professional | None | $524.81 | $588.84 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $1,023.29 | Facility | None | $758.58 | $851.14 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $5,370.32 Typical High $7,585.78 | Professional | None | $758.58 | $5,370.32 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Facility | None | $562.34 | $562.34 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Kaiser Permanente Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,584.89 | Facility | None | $831.76 | $1,071.52 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,949.84 | Professional | None | $794.33 | $1,071.52 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $741.31 | Professional | None | $602.56 | $676.08 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $912.01 | Facility | None | $691.83 | $851.14 | $912.01 |
Pacific Source Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,698.24 | Facility | None | $758.58 | $758.58 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $933.25 | Professional | None | $707.95 | $758.58 | $933.25 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $1,412.54 | Facility | None | $660.69 | $1,412.54 | $1,412.54 |
United Setting Professional Modifier None Typical Low $416.87 Median $436.52 Typical High $851.14 | Professional | None | $416.87 | $436.52 | $851.14 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $1,348.96 | Professional | None | $524.81 | $630.96 | $1,348.96 |
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 $263.03 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $263.03 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $52.48 | $58.88 | $58.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | NR · New when rented | $758.58 | $758.58 | $758.58 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | NR · New when rented | $724.44 | $724.44 | $851.14 |
Where Washington sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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
$759
HI $1,230KS $339
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.