How much rates vary
Facilitymedian $363 · 10th to 90th $295 to $631Professionalmedian $324 · 10th to 90th $170 to $661
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 $251.19 Median $251.19 Typical High $407.38 | Facility | None | $251.19 | $251.19 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $281.84 | Professional | None | $204.17 | $251.19 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $281.84 | Professional | None | $245.47 | $257.04 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $354.81 Typical High $380.19 | Facility | None | $288.40 | $354.81 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $1,949.84 Typical High $2,818.38 | Professional | None | $323.59 | $1,949.84 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Facility | None | $208.93 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
Kaiser Permanente Setting Facility Modifier None Typical Low $354.81 Median $446.68 Typical High $660.69 | Facility | None | $354.81 | $446.68 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $758.58 | Professional | None | $338.84 | $457.09 | $758.58 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $309.03 | Professional | None | $257.04 | $281.84 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $363.08 Typical High $380.19 | Facility | None | $295.12 | $363.08 | $380.19 |
Pacific Source Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | None | $371.54 | $371.54 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $724.44 | Facility | None | $323.59 | $323.59 | $724.44 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | None | $309.03 | $309.03 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $398.11 | Professional | None | $302.00 | $323.59 | $398.11 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $331.13 | Professional | None | $162.18 | $169.82 | $331.13 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $562.34 | Professional | None | $223.87 | $263.03 | $562.34 |
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 $109.65 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.39 | $25.12 | $25.12 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | NR · New when rented | $323.59 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | NR · New when rented | $309.03 | $309.03 | $354.81 |
Where Washington sits
The same service costs 2.4 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· 12th of 51
$324
HI $380DE $158
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.