How much rates vary
Facilitymedian $646 · 10th to 90th $525 to $1,122Professionalmedian $575 · 10th to 90th $309 to $1,380
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | None | $398.11 | $446.68 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $691.83 | Facility | None | $512.86 | $645.65 | $691.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,467.37 Typical High $5,011.87 | Professional | None | $575.44 | $3,467.37 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $512.86 | Facility | None | $416.87 | $416.87 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Kaiser Permanente Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,202.26 | Facility | None | $630.96 | $794.33 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,348.96 | Professional | None | $602.56 | $812.83 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $562.34 | Professional | None | $457.09 | $512.86 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $676.08 | Facility | None | $524.81 | $645.65 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $1,288.25 | Facility | None | $575.44 | $575.44 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $707.95 | Professional | None | $537.03 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $588.84 | Professional | None | $288.40 | $302.00 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $1,023.29 | Professional | None | $407.38 | $467.74 | $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 $199.53 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $44.67 | $44.67 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | NR · New when rented | $575.44 | $575.44 | $575.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | NR · New when rented | $549.54 | $549.54 | $645.65 |
Where Washington sits
The same service costs 2.2 times more in Montana 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· 11th of 51
$575
MT $692DE $309
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.