How much rates vary
Facilitymedian $79 · 10th to 90th $60 to $138Professionalmedian $69 · 10th to 90th $35 to $138
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $54.95 | Professional | None | $47.86 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $79.43 | Facility | None | $53.70 | $72.44 | $79.43 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $537.03 | Professional | None | $69.18 | $69.18 | $537.03 |
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 $77.62 Median $97.72 Typical High $144.54 | Facility | None | $77.62 | $97.72 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $144.54 | Professional | None | $74.13 | $97.72 | $144.54 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $67.61 | Professional | None | $56.23 | $61.66 | $67.61 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $81.28 | Facility | None | $64.57 | $79.43 | $81.28 |
Pacific Source Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None | $64.57 | $64.57 | $81.28 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $158.49 | Facility | None | $70.79 | $70.79 | $158.49 |
Premera BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $87.10 | Professional | None | $66.07 | $69.18 | $87.10 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $97.72 | Facility | None | $52.48 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $58.88 | Professional | None | $28.18 | $30.20 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $123.03 | Professional | None | $37.15 | $57.54 | $123.03 |
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 $23.99 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $23.99 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.77 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $7.24 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.79 | $5.50 | $5.50 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | NR · New when rented | $70.79 | $70.79 | $70.79 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | NR · New when rented | $67.61 | $67.61 | $77.62 |
Where Washington sits
The same service costs 4.0 times more in Hawaii than in Washington, DC. 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· 7th of 51
$69.18
HI $132DC $33.11
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.