How much rates vary
Facilitymedian $200 · 10th to 90th $162 to $347Professionalmedian $178 · 10th to 90th $102 to $501
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | None | $123.03 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $213.80 | Facility | None | $158.49 | $199.53 | $213.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $177.83 Median $1,071.52 Typical High $1,584.89 | Professional | None | $177.83 | $1,071.52 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $371.54 | Facility | None | $194.98 | $251.19 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $416.87 | Professional | None | $186.21 | $251.19 | $416.87 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $208.93 | Professional | None | $60.26 | $60.26 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $213.80 | Facility | None | $162.18 | $199.53 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $398.11 | Facility | None | $177.83 | $177.83 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | None | $169.82 | $169.82 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $218.78 | Professional | None | $165.96 | $177.83 | $218.78 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | None | $89.13 | $93.33 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $316.23 | Professional | None | $117.49 | $147.91 | $316.23 |
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 $61.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.30 | $13.80 | $13.80 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | NR · New when rented | $177.83 | $177.83 | $177.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | NR · New when rented | $169.82 | $169.82 | $199.53 |
Where Washington sits
The same service costs 2.0 times more in Wyoming than in New Jersey. 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
$178
WY $209NJ $102
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.