How much rates vary
Facilitymedian $251 · 10th to 90th $204 to $427Professionalmedian $224 · 10th to 90th $105 to $490
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | None | $154.88 | $173.78 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $251.19 | Facility | None | $173.78 | $229.09 | $251.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $1,318.26 Typical High $1,513.56 | Professional | None | $223.87 | $1,318.26 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Facility | None | $144.54 | $144.54 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $245.47 Median $309.03 Typical High $467.74 | Facility | None | $245.47 | $309.03 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $467.74 | Professional | None | $234.42 | $316.23 | $467.74 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $218.78 | Professional | None | $177.83 | $199.53 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $251.19 Typical High $257.04 | Facility | None | $204.17 | $251.19 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $501.19 | Facility | None | $223.87 | $223.87 | $501.19 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None | $213.80 | $213.80 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | None | $208.93 | $223.87 | $275.42 |
United Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $323.59 | Facility | None | $100.00 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $194.98 | Professional | None | $93.33 | $100.00 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $398.11 | Professional | None | $123.03 | $181.97 | $398.11 |
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 $77.62 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $77.62 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $30.90 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $22.91 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $17.38 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | NR · New when rented | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | NR · New when rented | $213.80 | $213.80 | $251.19 |
Where Washington sits
The same service costs 2.5 times more in Montana than in Florida. 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
$224
MT $263FL $105
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.