How much rates vary
Facilitymedian $912 · 10th to 90th $741 to $1,549Professionalmedian $813 · 10th to 90th $380 to $1,862
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | None | $562.34 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $954.99 | Facility | None | $707.95 | $912.01 | $954.99 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $5,370.32 Typical High $7,244.36 | Professional | None | $812.83 | $5,370.32 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Kaiser Permanente Setting Facility Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,698.24 | Facility | None | $891.25 | $1,122.02 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,819.70 | Professional | None | $851.14 | $1,148.15 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $776.25 | Professional | None | $645.65 | $707.95 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $812.83 Typical High $933.25 | Facility | None | $741.31 | $812.83 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,819.70 | Facility | None | $812.83 | $812.83 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,000.00 | Professional | None | $758.58 | $812.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,348.96 Typical High $1,348.96 | Facility | None | $549.54 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $794.33 | Professional | None | $389.05 | $407.38 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,412.54 | Professional | None | $501.19 | $660.69 | $1,412.54 |
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 $281.84 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $281.84 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $56.23 | $63.10 | $63.10 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | NR · New when rented | $812.83 | $812.83 | $812.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | NR · New when rented | $776.25 | $776.25 | $912.01 |
Where Washington sits
The same service costs 3.2 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· 9th of 51
$813
HI $1,202DE $372
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.