How much rates vary
Facilitymedian $191 · 10th to 90th $155 to $324Professionalmedian $170 · 10th to 90th $87 to $389
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | None | $117.49 | $131.83 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $190.55 | Facility | None | $144.54 | $186.21 | $190.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $1,023.29 Typical High $1,412.54 | Professional | None | $169.82 | $1,023.29 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $131.83 | Facility | None | $120.23 | $120.23 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | None | $87.10 | $87.10 | $120.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $354.81 | Facility | None | $186.21 | $234.42 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $380.19 | Professional | None | $177.83 | $239.88 | $380.19 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $165.96 | Professional | None | $134.90 | $151.36 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $199.53 | Facility | None | $154.88 | $190.55 | $199.53 |
Pacific Source Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None | $162.18 | $162.18 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $208.93 | Professional | None | $158.49 | $169.82 | $208.93 |
United Setting Facility Modifier None Typical Low $85.11 Median $275.42 Typical High $275.42 | Facility | None | $85.11 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $165.96 | Professional | None | $81.28 | $85.11 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $302.00 | Professional | None | $100.00 | $138.04 | $302.00 |
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 $58.88 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $17.38 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.75 | $13.18 | $13.18 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | NR · New when rented | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | NR · New when rented | $162.18 | $162.18 | $190.55 |
Where Washington sits
The same service costs 2.4 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· 9th of 51
$170
MT $209DE $87.10
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.