How much rates vary
Facilitymedian $2,630 · 10th to 90th $2,138 to $4,467Professionalmedian $2,344 · 10th to 90th $955 to $5,129
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,819.70 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,630.27 | Facility | None | $1,819.70 | $2,454.71 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,344.23 Median $13,489.63 Typical High $21,379.62 | Professional | None | $2,344.23 | $13,489.63 | $21,379.62 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Facility | None | $1,318.26 | $1,318.26 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,897.79 | Facility | None | $2,570.40 | $3,235.94 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,311.31 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,089.30 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $2,691.53 | Facility | None | $2,137.96 | $2,630.27 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $5,248.07 | Facility | None | $2,344.23 | $2,344.23 | $5,248.07 |
Premera BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,344.23 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $3,388.44 | Facility | None | $1,258.93 | $3,388.44 | $3,388.44 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $2,041.74 | Professional | None | $977.24 | $1,047.13 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $4,168.69 | Professional | None | $1,288.25 | $1,905.46 | $4,168.69 |
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 $812.83 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $812.83 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $162.18 | $181.97 | $181.97 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | NR · New when rented | $2,344.23 | $2,344.23 | $2,344.23 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | NR · New when rented | $2,238.72 | $2,238.72 | $2,630.27 |
Where Washington sits
The same service costs 2.9 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
$2,344
HI $2,754DE $955
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.