How much rates vary
Facilitymedian $219 · 10th to 90th $178 to $389Professionalmedian $195 · 10th to 90th $102 to $398
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | None | $144.54 | $151.36 | $151.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $275.42 | Facility | None | $204.17 | $218.78 | $275.42 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $3,467.37 | Professional | None | $194.98 | $194.98 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $407.38 | Facility | None | $218.78 | $275.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $501.19 | Professional | None | $208.93 | $281.84 | $501.19 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $190.55 | Professional | None | $154.88 | $173.78 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $257.04 | Facility | None | $177.83 | $218.78 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
Premera BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $194.98 Typical High $239.88 | Professional | None | $186.21 | $194.98 | $239.88 |
United Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $371.54 | Facility | None | $309.03 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $218.78 | Professional | None | $107.15 | $112.20 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $346.74 | Professional | None | $134.90 | $162.18 | $346.74 |
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 $72.44 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $15.14 | $15.14 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | NR · New when rented | $199.53 | $199.53 | $199.53 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | NR · New when rented | $186.21 | $186.21 | $218.78 |
Where Washington sits
The same service costs 8.1 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
$195
HI $832DE $102
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.