How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,148 to $2,455Professionalmedian $1,259 · 10th to 90th $646 to $3,162
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $977.24 | Professional | None | $870.96 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,412.54 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,258.93 Median $8,317.64 Typical High $12,022.64 | Professional | None | $1,258.93 | $8,317.64 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,412.54 | $1,778.28 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,348.96 | $1,819.70 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,122.02 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,148.15 | $1,412.54 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,288.25 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,258.93 | $1,548.82 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,238.72 Typical High $2,238.72 | Facility | None | $870.96 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $1,348.96 | Professional | None | $645.65 | $691.83 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,238.72 | Professional | None | $851.14 | $1,047.13 | $2,238.72 |
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 $436.52 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $97.72 | $97.72 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | NR · New when rented | $1,288.25 | $1,288.25 | $1,288.25 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | NR · New when rented | $1,202.26 | $1,202.26 | $1,412.54 |
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· 11th of 51
$1,288
HI $1,905DE $646
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.