How much rates vary
Facilitymedian $100 · 10th to 90th $81 to $174Professionalmedian $89 · 10th to 90th $50 to $214
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | None | $61.66 | $69.18 | $69.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $107.15 | Facility | None | $79.43 | $100.00 | $107.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $89.13 Median $537.03 Typical High $776.25 | Professional | None | $89.13 | $537.03 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Kaiser Permanente Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $186.21 | Facility | None | $97.72 | $123.03 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | None | $93.33 | $125.89 | $208.93 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $87.10 | Professional | None | $70.79 | $79.43 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $104.71 | Facility | None | $81.28 | $100.00 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $199.53 | Facility | None | $89.13 | $89.13 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | None | $83.18 | $89.13 | $109.65 |
United Setting Facility Modifier None Typical Low $60.26 Median $154.88 Typical High $154.88 | Facility | None | $60.26 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $91.20 | Professional | None | $44.67 | $46.77 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $158.49 | Professional | None | $58.88 | $72.44 | $158.49 |
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 $30.90 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.30 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.17 | $6.92 | $6.92 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | NR · New when rented | $89.13 | $89.13 | $89.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | NR · New when rented | $85.11 | $85.11 | $100.00 |
Where Washington sits
The same service costs 2.1 times more in Montana 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· 11th of 51
$89.13
MT $107FL $50.12
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.