How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,096 to $2,455Professionalmedian $1,259 · 10th to 90th $617 to $2,818
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | None | $758.58 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,096.48 | $1,380.38 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $8,128.31 Typical High $11,748.98 | Professional | None | $1,258.93 | $8,128.31 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,630.27 | Facility | None | $1,380.38 | $1,737.80 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,778.28 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,000.00 | $1,096.48 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,445.44 | Facility | None | $1,148.15 | $1,258.93 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,818.38 | Facility | None | $1,258.93 | $1,258.93 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,258.93 | $1,548.82 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,041.74 Typical High $2,041.74 | Facility | None | $794.33 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $1,230.27 | Professional | None | $602.56 | $630.96 | $1,230.27 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,187.76 | Professional | None | $851.14 | $1,023.29 | $2,187.76 |
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 $436.52 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $97.72 | $97.72 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | NR · New when rented | $1,258.93 | $1,258.93 | $1,258.93 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | NR · New when rented | $1,202.26 | $1,202.26 | $1,412.54 |
Where Washington sits
The same service costs 3.2 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· 6th of 51
$1,259
HI $1,950DE $617
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.