How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,862 to $4,266Professionalmedian $2,188 · 10th to 90th $871 to $4,786
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,698.24 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,454.71 | Facility | None | $1,621.81 | $2,187.76 | $2,454.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,187.76 Median $12,882.50 Typical High $18,620.87 | Professional | None | $2,187.76 | $12,882.50 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,570.88 | Facility | None | $2,398.83 | $3,019.95 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,570.88 | Professional | None | $2,290.87 | $3,019.95 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,949.84 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $2,511.89 | Facility | None | $1,995.26 | $2,454.71 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,897.79 | Facility | None | $2,187.76 | $2,187.76 | $4,897.79 |
Premera BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,089.30 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,187.76 | $2,691.53 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,090.30 Typical High $3,090.30 | Facility | None | $933.25 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,862.09 | Professional | None | $891.25 | $933.25 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,148.15 | $1,778.28 | $3,890.45 |
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 $758.58 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $758.58 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $302.00 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $223.87 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $151.36 | $169.82 | $169.82 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | NR · New when rented | $2,187.76 | $2,187.76 | $2,187.76 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | NR · New when rented | $2,089.30 | $2,089.30 | $2,454.71 |
Where Washington sits
The same service costs 3.0 times more in Montana 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
$2,188
MT $2,570DE $851
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.