How much rates vary
Facilitymedian $209 · 10th to 90th $170 to $363Professionalmedian $182 · 10th to 90th $107 to $457
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | None | $125.89 | $141.25 | $141.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $213.80 | Facility | None | $162.18 | $204.17 | $213.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $1,071.52 Typical High $1,584.89 | Professional | None | $181.97 | $1,071.52 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $158.49 | Facility | None | $147.91 | $147.91 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
Kaiser Permanente Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $380.19 | Facility | None | $204.17 | $257.04 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | None | $194.98 | $263.03 | $416.87 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $177.83 | Professional | None | $144.54 | $162.18 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $213.80 | Facility | None | $169.82 | $208.93 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $416.87 | Facility | None | $186.21 | $186.21 | $416.87 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $229.09 | Professional | None | $173.78 | $181.97 | $229.09 |
United Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $309.03 | Facility | None | $257.04 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | None | $89.13 | $93.33 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $323.59 | Professional | None | $114.82 | $151.36 | $323.59 |
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 $63.10 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.59 | $14.13 | $14.13 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | NR · New when rented | $186.21 | $186.21 | $186.21 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | NR · New when rented | $173.78 | $173.78 | $204.17 |
Where Washington sits
The same service costs 5.4 times more in Kansas 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
$186
KS $575WV $107
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.