How much rates vary
Facilitymedian $132 · 10th to 90th $107 to $229Professionalmedian $117 · 10th to 90th $63 to $229
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $102.33 | Professional | None | $81.28 | $91.20 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $138.04 | Professional | None | $104.71 | $104.71 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $158.49 | Facility | None | $117.49 | $131.83 | $158.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $1,318.26 | Professional | None | $117.49 | $117.49 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $95.50 | Facility | None | $81.28 | $87.10 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Kaiser Permanente Setting Facility Modifier None Typical Low $128.82 Median $165.96 Typical High $245.47 | Facility | None | $128.82 | $165.96 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $302.00 | Professional | None | $123.03 | $165.96 | $302.00 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $147.91 | Professional | None | $117.49 | $131.83 | $147.91 |
Pacific Source Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $181.97 | Facility | None | $107.15 | $131.83 | $181.97 |
Pacific Source Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $263.03 | Facility | None | $117.49 | $117.49 | $263.03 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None | $112.20 | $112.20 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $144.54 | Professional | None | $112.20 | $117.49 | $144.54 |
United Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $218.78 | Facility | None | $120.23 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $131.83 | Professional | None | $64.57 | $67.61 | $131.83 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $208.93 | Professional | None | $85.11 | $97.72 | $208.93 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | NR · New when rented | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | NR · New when rented | $112.20 | $112.20 | $131.83 |
Where Washington sits
The same service costs 5.0 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· 12th of 51
$117
HI $316DE $63.10
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.