How much rates vary
Facilitymedian $813 · 10th to 90th $661 to $1,380Professionalmedian $724 · 10th to 90th $398 to $1,660
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $562.34 | Professional | None | $478.63 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $912.01 | Facility | None | $691.83 | $812.83 | $912.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $724.44 Median $5,248.07 Typical High $8,128.31 | Professional | None | $724.44 | $5,248.07 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Facility | None | $549.54 | $549.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,513.56 | Facility | None | $794.33 | $1,000.00 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,778.28 | Professional | None | $758.58 | $1,023.29 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $707.95 | Professional | None | $575.44 | $645.65 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $851.14 | Facility | None | $660.69 | $812.83 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,621.81 | Facility | None | $724.44 | $724.44 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | None | $691.83 | $691.83 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $891.25 | Professional | None | $676.08 | $724.44 | $891.25 |
United Setting Facility Modifier None Typical Low $436.52 Median $1,318.26 Typical High $1,318.26 | Facility | None | $436.52 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $776.25 | Professional | None | $380.19 | $398.11 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $1,288.25 | Professional | None | $549.54 | $588.84 | $1,288.25 |
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 $251.19 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $50.12 | $56.23 | $56.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | NR · New when rented | $724.44 | $724.44 | $724.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | NR · New when rented | $691.83 | $691.83 | $812.83 |
Where Washington sits
The same service costs 2.4 times more in Iowa 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· 13th of 51
$724
IA $955DE $398
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.