How much rates vary
Facilitymedian $174 · 10th to 90th $141 to $295Professionalmedian $151 · 10th to 90th $81 to $407
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $199.53 | Facility | None | $147.91 | $173.78 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $151.36 Median $1,202.26 Typical High $1,698.24 | Professional | None | $151.36 | $1,202.26 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | None | $109.65 | $109.65 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None | $81.28 | $81.28 | $109.65 |
Kaiser Permanente Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $316.23 | Facility | None | $169.82 | $213.80 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $398.11 | Professional | None | $162.18 | $218.78 | $398.11 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $147.91 | Professional | None | $123.03 | $134.90 | $147.91 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $173.78 Typical High $234.42 | Facility | None | $141.25 | $173.78 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74 | Facility | None | $154.88 | $154.88 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | None | $147.91 | $147.91 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | None | $144.54 | $151.36 | $190.55 |
United Setting Facility Modifier None Typical Low $107.15 Median $288.40 Typical High $288.40 | Facility | None | $107.15 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $173.78 | Professional | None | $83.18 | $87.10 | $173.78 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $269.15 | Professional | None | $107.15 | $125.89 | $269.15 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | NR · New when rented | $154.88 | $154.88 | $154.88 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | NR · New when rented | $147.91 | $147.91 | $169.82 |
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· 11th of 51
$155
MT $240DE $81.28
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.