How much rates vary
Facilitymedian $186 · 10th to 90th $151 to $324Professionalmedian $166 · 10th to 90th $95 to $457
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $199.53 | Facility | None | $147.91 | $181.97 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $1,000.00 Typical High $1,445.44 | Professional | None | $165.96 | $1,000.00 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $144.54 | Facility | None | $128.82 | $128.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | None | $95.50 | $95.50 | $128.82 |
Kaiser Permanente Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $346.74 | Facility | None | $181.97 | $229.09 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $389.05 | Professional | None | $173.78 | $234.42 | $389.05 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $194.98 | Professional | None | $60.26 | $60.26 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $194.98 | Facility | None | $151.36 | $186.21 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $371.54 | Facility | None | $165.96 | $165.96 | $371.54 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None | $158.49 | $158.49 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $204.17 | Professional | None | $154.88 | $165.96 | $204.17 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $169.82 | Professional | None | $83.18 | $87.10 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $288.40 | Professional | None | $117.49 | $134.90 | $288.40 |
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 $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $16.98 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.48 | $12.88 | $12.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | NR · New when rented | $165.96 | $165.96 | $165.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | NR · New when rented | $158.49 | $158.49 | $186.21 |
Where Washington sits
The same service costs 2.5 times more in Kansas than in Utah. 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· 13th of 51
$166
KS $234UT $95.50
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.