How much rates vary
Facilitymedian $661 · 10th to 90th $589 to $1,148Professionalmedian $589 · 10th to 90th $288 to $1,413
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | None | $407.38 | $457.09 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $707.95 | Facility | None | $524.81 | $660.69 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $588.84 Median $3,548.13 Typical High $5,128.61 | Professional | None | $588.84 | $3,548.13 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Kaiser Permanente Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,230.27 | Facility | None | $645.65 | $812.83 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,380.38 | Professional | None | $616.60 | $831.76 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $575.44 | Professional | None | $467.74 | $512.86 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $707.95 | Facility | None | $660.69 | $676.08 | $707.95 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,318.26 | Facility | None | $588.84 | $588.84 | $1,318.26 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $724.44 | Professional | None | $549.54 | $588.84 | $724.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $602.56 | Professional | None | $295.12 | $309.03 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $1,023.29 | Professional | None | $380.19 | $478.63 | $1,023.29 |
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 $204.17 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $40.74 | $45.71 | $45.71 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | NR · New when rented | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | NR · New when rented | $562.34 | $562.34 | $660.69 |
Where Washington sits
The same service costs 2.5 times more in Iowa 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· 12th of 51
$589
IA $708DE $282
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.