How much rates vary
Facilitymedian $1,023 · 10th to 90th $832 to $1,778Professionalmedian $912 · 10th to 90th $537 to $2,188
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 $707.95 Median $707.95 Typical High $1,174.90 | Facility | None | $707.95 | $707.95 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $707.95 | Professional | None | $630.96 | $707.95 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,096.48 | Facility | None | $812.83 | $1,023.29 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $912.01 Median $5,495.41 Typical High $7,943.28 | Professional | None | $912.01 | $5,495.41 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $891.25 | Facility | None | $724.44 | $724.44 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,905.46 | Facility | None | $1,000.00 | $1,288.25 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,137.96 | Professional | None | $954.99 | $1,288.25 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $891.25 | Professional | None | $724.44 | $812.83 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,071.52 | Facility | None | $831.76 | $1,023.29 | $1,071.52 |
Pacific Source Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $2,041.74 | Facility | None | $912.01 | $912.01 | $2,041.74 |
Premera BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | None | $870.96 | $870.96 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,122.02 | Professional | None | $851.14 | $912.01 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $933.25 | Professional | None | $457.09 | $478.63 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,621.81 | Professional | None | $602.56 | $741.31 | $1,621.81 |
4 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 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $70.79 | $70.79 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | NR · New when rented | $912.01 | $912.01 | $912.01 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | NR · New when rented | $870.96 | $870.96 | $1,023.29 |
Where Washington sits
The same service costs 2.0 times more in Montana 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· 11th of 51
$912
MT $1,096WV $537
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.