How much rates vary
Facilitymedian $135 · 10th to 90th $110 to $240Professionalmedian $120 · 10th to 90th $66 to $324
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | None | $85.11 | $93.33 | $93.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $154.88 | Facility | None | $114.82 | $134.90 | $154.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $851.14 Typical High $1,071.52 | Professional | None | $120.23 | $851.14 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None | $66.07 | $66.07 | $91.20 |
Kaiser Permanente Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $251.19 | Facility | None | $134.90 | $169.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $309.03 | Professional | None | $128.82 | $173.78 | $309.03 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $117.49 | Professional | None | $95.50 | $107.15 | $117.49 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $147.91 | Facility | None | $109.65 | $134.90 | $147.91 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $275.42 | Facility | None | $123.03 | $123.03 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $147.91 | Professional | None | $114.82 | $120.23 | $147.91 |
United Setting Facility Modifier None Typical Low $69.18 Median $229.09 Typical High $229.09 | Facility | None | $69.18 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $134.90 | Professional | None | $66.07 | $69.18 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $213.80 | Professional | None | $81.28 | $100.00 | $213.80 |
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 $42.66 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $12.88 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.51 | $9.33 | $9.33 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | NR · New when rented | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | NR · New when rented | $114.82 | $114.82 | $134.90 |
Where Washington sits
The same service costs 2.5 times more in Montana 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· 12th of 51
$123
MT $162DE $66.07
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.