How much rates vary
Facilitymedian $129 · 10th to 90th $107 to $229Professionalmedian $115 · 10th to 90th $78 to $229
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | None | $83.18 | $89.13 | $89.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $128.82 Typical High $158.49 | Facility | None | $120.23 | $128.82 | $158.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $1,445.44 | Professional | None | $114.82 | $114.82 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $117.49 | Facility | None | $107.15 | $107.15 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Kaiser Permanente Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $239.88 | Facility | None | $125.89 | $162.18 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $295.12 | Professional | None | $123.03 | $165.96 | $295.12 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $112.20 | Professional | None | $91.20 | $102.33 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $131.83 | Facility | None | $104.71 | $128.82 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $257.04 | Facility | None | $117.49 | $117.49 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | None | $109.65 | $109.65 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $141.25 | Professional | None | $107.15 | $114.82 | $141.25 |
United Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $218.78 | Facility | None | $181.97 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $128.82 | Professional | None | $63.10 | $66.07 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $204.17 | Professional | None | $81.28 | $95.50 | $204.17 |
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 $41.69 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $41.69 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $16.60 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.32 | $8.91 | $8.91 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | NR · New when rented | $117.49 | $117.49 | $117.49 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | NR · New when rented | $109.65 | $109.65 | $128.82 |
Where Washington sits
The same service costs 5.1 times more in Hawaii than in Florida. 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· 14th of 51
$117
HI $355FL $69.18
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.