How much rates vary
Facilitymedian $589 · 10th to 90th $457 to $1,023Professionalmedian $525 · 10th to 90th $219 to $1,148
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Professional | None | $363.08 | $407.38 | $407.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $549.54 Typical High $588.84 | Facility | None | $416.87 | $549.54 | $588.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $524.81 Median $3,715.35 Typical High $3,715.35 | Professional | None | $524.81 | $3,715.35 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Kaiser Permanente Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $1,096.48 | Facility | None | $575.44 | $724.44 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,096.48 | Professional | None | $549.54 | $741.31 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $501.19 | Professional | None | $416.87 | $457.09 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $602.56 | Facility | None | $478.63 | $588.84 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Facility | None | $524.81 | $524.81 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $645.65 | Professional | None | $489.78 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $346.74 Median $776.25 Typical High $776.25 | Facility | None | $346.74 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $467.74 | Professional | None | $223.87 | $239.88 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $912.01 | Professional | None | $295.12 | $426.58 | $912.01 |
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 $181.97 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $36.31 | $40.74 | $40.74 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | NR · New when rented | $524.81 | $524.81 | $524.81 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | NR · New when rented | $501.19 | $501.19 | $588.84 |
Where Washington sits
The same service costs 4.2 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· 5th of 51
$525
HI $912DE $219
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.