How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,778 to $3,802Professionalmedian $1,950 · 10th to 90th $871 to $4,786
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,513.56 | $1,513.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $2,187.76 | Facility | None | $1,621.81 | $2,137.96 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,949.84 Median $12,302.69 Typical High $19,054.61 | Professional | None | $1,949.84 | $12,302.69 | $19,054.61 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $3,981.07 | Facility | None | $2,137.96 | $2,691.53 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,754.23 | $4,168.69 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,698.24 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,238.72 | Facility | None | $1,778.28 | $2,187.76 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,949.84 | $1,949.84 | $4,365.16 |
Premera BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,862.09 | $1,862.09 | $2,137.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,819.70 | $1,949.84 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $3,090.30 | Facility | None | $1,258.93 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,819.70 | Professional | None | $891.25 | $933.25 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,174.90 | $1,584.89 | $3,388.44 |
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 $660.69 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $134.90 | $151.36 | $151.36 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | NR · New when rented | $1,949.84 | $1,949.84 | $1,949.84 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,862.09 Median $1,862.09 Typical High $2,137.96 | Professional | NR · New when rented | $1,862.09 | $1,862.09 | $2,137.96 |
Where Washington sits
The same service costs 3.3 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· 6th of 51
$1,950
HI $2,818DE $851
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.