How much rates vary
Facilitymedian $54 · 10th to 90th $44 to $93Professionalmedian $48 · 10th to 90th $24 to $129
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | None | $32.36 | $37.15 | $37.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $57.54 | Facility | None | $43.65 | $53.70 | $57.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $47.86 Median $288.40 Typical High $426.58 | Professional | None | $47.86 | $288.40 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $37.15 | Facility | None | $33.11 | $33.11 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $52.48 Median $67.61 Typical High $100.00 | Facility | None | $52.48 | $67.61 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $112.20 | Professional | None | $51.29 | $69.18 | $112.20 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | None | $56.23 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $57.54 | Facility | None | $43.65 | $53.70 | $57.54 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $107.15 | Facility | None | $48.98 | $48.98 | $107.15 |
Premera BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | None | $45.71 | $45.71 | $53.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $58.88 | Professional | None | $44.67 | $47.86 | $58.88 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $48.98 | Professional | None | $23.99 | $25.12 | $48.98 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $85.11 | Professional | None | $30.90 | $39.81 | $85.11 |
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 $16.60 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.61 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.01 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.31 | $3.72 | $3.72 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | NR · New when rented | $48.98 | $48.98 | $48.98 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | NR · New when rented | $45.71 | $45.71 | $53.70 |
Where Washington sits
The same service costs 2.6 times more in Montana than in Kansas. 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
$48.98
MT $60.26KS $23.44
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.