How much rates vary
Facilitymedian $78 · 10th to 90th $63 to $135Professionalmedian $69 · 10th to 90th $35 to $135
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | None | $47.86 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $87.10 | Facility | None | $64.57 | $77.62 | $87.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $676.08 | Professional | None | $69.18 | $69.18 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $53.70 | Facility | None | $48.98 | $48.98 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | None | $35.48 | $35.48 | $48.98 |
Kaiser Permanente Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $144.54 | Facility | None | $75.86 | $95.50 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $169.82 | Professional | None | $72.44 | $97.72 | $169.82 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $67.61 | Professional | None | $54.95 | $60.26 | $67.61 |
Pacific Source Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $100.00 | Facility | None | $63.10 | $77.62 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $154.88 | Facility | None | $69.18 | $69.18 | $154.88 |
Premera BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None | $66.07 | $66.07 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $85.11 | Professional | None | $66.07 | $69.18 | $85.11 |
United Setting Facility Modifier None Typical Low $64.57 Median $123.03 Typical High $123.03 | Facility | None | $64.57 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $74.13 | Professional | None | $36.31 | $38.02 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $120.23 | Professional | None | $46.77 | $56.23 | $120.23 |
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 $26.30 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.37 | $5.37 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | NR · New when rented | $69.18 | $69.18 | $69.18 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | NR · New when rented | $66.07 | $66.07 | $77.62 |
Where Washington sits
The same service costs 4.7 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· 12th of 51
$69.18
HI $166DE $35.48
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.