How much rates vary
Facilitymedian $275 · 10th to 90th $224 to $479Professionalmedian $245 · 10th to 90th $120 to $575
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | None | $169.82 | $190.55 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $302.00 | Facility | None | $229.09 | $275.42 | $302.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,905.46 Typical High $1,949.84 | Professional | None | $245.47 | $1,905.46 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $169.82 | Facility | None | $158.49 | $158.49 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Kaiser Permanente Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $501.19 | Facility | None | $269.15 | $338.84 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $575.44 | Professional | None | $257.04 | $346.74 | $575.44 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $234.42 | Professional | None | $194.98 | $213.80 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $281.84 | Facility | None | $223.87 | $269.15 | $281.84 |
Premera BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $549.54 | Facility | None | $245.47 | $245.47 | $549.54 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | None | $234.42 | $234.42 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $302.00 | Professional | None | $229.09 | $245.47 | $302.00 |
United Setting Facility Modifier None Typical Low $169.82 Median $416.87 Typical High $416.87 | Facility | None | $169.82 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $251.19 | Professional | None | $120.23 | $128.82 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $426.58 | Professional | None | $154.88 | $199.53 | $426.58 |
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 $83.18 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $83.18 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $33.88 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $16.98 | $19.05 | $19.05 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | NR · New when rented | $245.47 | $245.47 | $245.47 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | NR · New when rented | $234.42 | $234.42 | $269.15 |
Where Washington sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 11th of 51
$245
HI $468KS $107
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.