How much rates vary
Facilitymedian $776 · 10th to 90th $631 to $1,380Professionalmedian $692 · 10th to 90th $372 to $1,862
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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $537.03 | Professional | None | $478.63 | $537.03 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $933.25 | Facility | None | $707.95 | $776.25 | $933.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $5,754.40 Typical High $7,413.10 | Professional | None | $691.83 | $5,754.40 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Kaiser Permanente Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,445.44 | Facility | None | $776.25 | $977.24 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,778.28 | Professional | None | $741.31 | $1,000.00 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $676.08 | Professional | None | $549.54 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $794.33 | Facility | None | $630.96 | $776.25 | $794.33 |
Pacific Source Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,548.82 | Facility | None | $707.95 | $707.95 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $851.14 | Professional | None | $660.69 | $691.83 | $851.14 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $1,318.26 | Facility | None | $562.34 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $776.25 | Professional | None | $380.19 | $398.11 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $1,230.27 | Professional | None | $501.19 | $575.44 | $1,230.27 |
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 $239.88 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $47.86 | $53.70 | $53.70 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | NR · New when rented | $707.95 | $707.95 | $707.95 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | NR · New when rented | $660.69 | $660.69 | $776.25 |
Where Washington sits
The same service costs 3.9 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· 13th of 51
$708
HI $1,413DE $363
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.