How much rates vary
Facilitymedian $123 · 10th to 90th $105 to $219Professionalmedian $110 · 10th to 90th $76 to $295
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | None | $79.43 | $85.11 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $144.54 | Facility | None | $109.65 | $123.03 | $144.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $109.65 Median $851.14 Typical High $977.24 | Professional | None | $109.65 | $851.14 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Professional | None | $75.86 | $75.86 | $104.71 |
Kaiser Permanente Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $229.09 | Facility | None | $123.03 | $154.88 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $281.84 | Professional | None | $117.49 | $158.49 | $281.84 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | None | $87.10 | $97.72 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $125.89 | Facility | None | $100.00 | $123.03 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $251.19 | Facility | None | $112.20 | $112.20 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | None | $104.71 | $104.71 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $134.90 | Professional | None | $104.71 | $109.65 | $134.90 |
United Setting Facility Modifier None Typical Low $85.11 Median $208.93 Typical High $208.93 | Facility | None | $85.11 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $123.03 | Professional | None | $60.26 | $63.10 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $194.98 | Professional | None | $75.86 | $91.20 | $194.98 |
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 $39.81 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.02 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $8.51 | $8.51 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | NR · New when rented | $112.20 | $112.20 | $112.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | NR · New when rented | $104.71 | $104.71 | $123.03 |
Where Washington sits
The same service costs 3.0 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· 13th of 51
$112
HI $204FL $67.61
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.