How much rates vary
Facilitymedian $617 · 10th to 90th $525 to $1,072Professionalmedian $537 · 10th to 90th $380 to $1,349
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $630.96 | Professional | None | $478.63 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $549.54 Median $616.60 Typical High $724.44 | Facility | None | $549.54 | $616.60 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $4,073.80 Typical High $6,309.57 | Professional | None | $537.03 | $4,073.80 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $645.65 | Facility | None | $524.81 | $524.81 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Kaiser Permanente Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,122.02 | Facility | None | $602.56 | $758.58 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,380.38 | Professional | None | $575.44 | $776.25 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $524.81 | Professional | None | $426.58 | $478.63 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $630.96 | Facility | None | $501.19 | $616.60 | $630.96 |
Premera BCBS Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $1,230.27 | Facility | None | $549.54 | $549.54 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $676.08 | Professional | None | $512.86 | $537.03 | $676.08 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,023.29 Typical High $1,023.29 | Facility | None | $416.87 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $616.60 | Professional | None | $295.12 | $309.03 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $954.99 | Professional | None | $389.05 | $446.68 | $954.99 |
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 $186.21 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $56.23 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $41.69 | $41.69 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | NR · New when rented | $549.54 | $549.54 | $549.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | NR · New when rented | $512.86 | $512.86 | $602.56 |
Where Washington sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 13th of 51
$550
HI $977MD $355
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.