How much rates vary
Facilitymedian $447 · 10th to 90th $363 to $776Professionalmedian $398 · 10th to 90th $174 to $776
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | None | $275.42 | $309.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $457.09 | Facility | None | $338.84 | $436.52 | $457.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $3,981.07 | Professional | None | $398.11 | $398.11 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
Kaiser Permanente Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $831.76 | Facility | None | $436.52 | $562.34 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $851.14 | Professional | None | $416.87 | $562.34 | $851.14 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $389.05 | Professional | None | $316.23 | $354.81 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $457.09 | Facility | None | $363.08 | $416.87 | $457.09 |
Pacific Source Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $891.25 | Facility | None | $398.11 | $398.11 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | None | $380.19 | $380.19 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $489.78 | Professional | None | $371.54 | $398.11 | $489.78 |
United Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $616.60 | Facility | None | $380.19 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $371.54 | Professional | None | $177.83 | $190.55 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $707.95 | Professional | None | $229.09 | $331.13 | $707.95 |
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 $138.04 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $138.04 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $30.90 | $30.90 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | NR · New when rented | $398.11 | $398.11 | $398.11 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | NR · New when rented | $380.19 | $380.19 | $446.68 |
Where Washington sits
The same service costs 5.5 times more in Hawaii than in Florida. 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
$398
HI $955FL $174
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.