How much rates vary
Facilitymedian $372 · 10th to 90th $295 to $646Professionalmedian $331 · 10th to 90th $158 to $759
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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | None | $229.09 | $257.04 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $371.54 | Facility | None | $263.03 | $346.74 | $371.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $2,187.76 Typical High $2,884.03 | Professional | None | $331.13 | $2,187.76 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Facility | None | $218.78 | $218.78 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $363.08 Median $467.74 Typical High $691.83 | Facility | None | $363.08 | $467.74 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $691.83 | Professional | None | $346.74 | $467.74 | $691.83 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $323.59 | Professional | None | $263.03 | $295.12 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $380.19 | Facility | None | $302.00 | $371.54 | $380.19 |
Pacific Source Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $741.31 | Facility | None | $331.13 | $331.13 | $741.31 |
Premera BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $407.38 | Professional | None | $309.03 | $331.13 | $407.38 |
United Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $489.78 | Facility | None | $204.17 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $295.12 | Professional | None | $141.25 | $151.36 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $588.84 | Professional | None | $181.97 | $269.15 | $588.84 |
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 $114.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $25.70 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | NR · New when rented | $331.13 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | NR · New when rented | $316.23 | $316.23 | $371.54 |
Where Washington sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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· 3rd of 51
$331
HI $525WV $158
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.