How much rates vary
Facilitymedian $490 · 10th to 90th $398 to $851Professionalmedian $437 · 10th to 90th $182 to $1,000
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | None | $302.00 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $489.78 | Facility | None | $338.84 | $457.09 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $436.52 Median $2,570.40 Typical High $3,235.94 | Professional | None | $436.52 | $2,570.40 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Facility | None | $245.47 | $245.47 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Kaiser Permanente Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $912.01 | Facility | None | $478.63 | $616.60 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $912.01 | Professional | None | $467.74 | $616.60 | $912.01 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | None | $346.74 | $389.05 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $501.19 | Facility | None | $398.11 | $489.78 | $501.19 |
Pacific Source Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $977.24 | Facility | None | $446.68 | $446.68 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $537.03 | Professional | None | $407.38 | $436.52 | $537.03 |
United Setting Facility Modifier None Typical Low $204.17 Median $645.65 Typical High $645.65 | Facility | None | $204.17 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $389.05 | Professional | None | $181.97 | $194.98 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $776.25 | Professional | None | $245.47 | $363.08 | $776.25 |
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 $151.36 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $33.88 | $33.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | NR · New when rented | $446.68 | $446.68 | $446.68 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | NR · New when rented | $416.87 | $416.87 | $489.78 |
Where Washington sits
The same service costs 2.9 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· 7th of 51
$437
MT $513DE $178
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.