How much rates vary
Facilitymedian $316 · 10th to 90th $257 to $537Professionalmedian $282 · 10th to 90th $126 to $646
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | None | $194.98 | $218.78 | $218.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $316.23 | Facility | None | $234.42 | $309.03 | $316.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $281.84 Median $2,398.83 Typical High $2,454.71 | Professional | None | $281.84 | $2,398.83 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Kaiser Permanente Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $588.84 | Facility | None | $309.03 | $389.05 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $616.60 | Professional | None | $295.12 | $398.11 | $616.60 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $275.42 | Professional | None | $223.87 | $245.47 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $323.59 | Facility | None | $257.04 | $316.23 | $323.59 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $630.96 | Facility | None | $281.84 | $281.84 | $630.96 |
Premera BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $346.74 | Professional | None | $263.03 | $281.84 | $346.74 |
United Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $446.68 | Facility | None | $229.09 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $269.15 | Professional | None | $128.82 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $489.78 | Professional | None | $169.82 | $229.09 | $489.78 |
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 $97.72 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $38.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $28.84 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.50 | $21.88 | $21.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | NR · New when rented | $281.84 | $281.84 | $281.84 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | NR · New when rented | $269.15 | $269.15 | $316.23 |
Where Washington sits
The same service costs 4.7 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
$282
HI $589DE $126
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.