How much rates vary
Facilitymedian $36 · 10th to 90th $30 to $63Professionalmedian $32 · 10th to 90th $15 to $93
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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | None | $22.39 | $25.12 | $25.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $38.90 | Facility | None | $28.84 | $36.31 | $38.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $32.36 Median $194.98 Typical High $288.40 | Professional | None | $32.36 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $23.44 | Facility | None | $21.38 | $21.38 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | None | $15.49 | $15.49 | $21.38 |
Kaiser Permanente Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $67.61 | Facility | None | $35.48 | $45.71 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $75.86 | Professional | None | $34.67 | $45.71 | $75.86 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $60.26 | Professional | None | $38.02 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $36.31 Typical High $38.02 | Facility | None | $29.51 | $36.31 | $38.02 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $72.44 | Facility | None | $32.36 | $32.36 | $72.44 |
Premera BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $39.81 | Professional | None | $30.20 | $32.36 | $39.81 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $33.11 | Professional | None | $16.22 | $16.98 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $57.54 | Professional | None | $20.89 | $26.92 | $57.54 |
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 $11.22 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $11.22 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $4.47 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | 55 · Aftercare only | $3.39 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.51 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.24 | $2.51 | $2.51 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | NR · New when rented | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | NR · New when rented | $30.90 | $30.90 | $36.31 |
Where Washington sits
The same service costs 3.1 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· 14th of 51
$32.36
MT $40.74KS $13.18
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.