How much rates vary
Facilitymedian $76 · 10th to 90th $60 to $129Professionalmedian $68 · 10th to 90th $28 to $141
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $75.86 | Facility | None | $51.29 | $67.61 | $75.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $67.61 Median $389.05 Typical High $588.84 | Professional | None | $67.61 | $389.05 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $42.66 | Facility | None | $38.90 | $38.90 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $38.90 | Professional | None | $28.18 | $28.18 | $38.90 |
Kaiser Permanente Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $141.25 | Facility | None | $74.13 | $93.33 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $141.25 | Professional | None | $70.79 | $93.33 | $141.25 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $66.07 | Professional | None | $53.70 | $60.26 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $77.62 | Facility | None | $61.66 | $75.86 | $77.62 |
Pacific Source Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $151.36 | Facility | None | $67.61 | $67.61 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None | $64.57 | $64.57 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | None | $63.10 | $67.61 | $83.18 |
United Setting Facility Modifier None Typical Low $38.02 Median $95.50 Typical High $95.50 | Facility | None | $38.02 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $57.54 | Professional | None | $27.54 | $28.84 | $57.54 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $120.23 | Professional | None | $35.48 | $54.95 | $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 $23.44 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.92 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.68 | $5.25 | $5.25 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | NR · New when rented | $67.61 | $67.61 | $67.61 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | NR · New when rented | $64.57 | $64.57 | $75.86 |
Where Washington sits
The same service costs 3.0 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· 3rd of 51
$67.61
HI $83.18DE $28.18
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.