How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,288 to $2,951Professionalmedian $1,514 · 10th to 90th $603 to $3,020
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,174.90 | $1,174.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $1,698.24 | Facility | None | $1,148.15 | $1,513.56 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $13,182.57 | Professional | None | $1,513.56 | $1,513.56 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $3,162.28 | Facility | None | $1,698.24 | $2,137.96 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,621.81 | $2,137.96 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,348.96 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,737.80 | Facility | None | $1,288.25 | $1,380.38 | $1,737.80 |
Pacific Source Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,513.56 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,348.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $1,288.25 | Professional | None | $616.60 | $660.69 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $1,258.93 Typical High $2,691.53 | Professional | None | $794.33 | $1,258.93 | $2,691.53 |
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 $524.81 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $524.81 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $104.71 | $117.49 | $117.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | NR · New when rented | $1,548.82 | $1,548.82 | $1,548.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | NR · New when rented | $1,445.44 | $1,445.44 | $1,698.24 |
Where Washington sits
The same service costs 5.4 times more in Hawaii 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· 4th of 51
$1,514
HI $3,236DE $603
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.