How much rates vary
Facilitymedian $59 · 10th to 90th $48 to $102Professionalmedian $52 · 10th to 90th $26 to $115
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $42.66 | Professional | None | $34.67 | $40.74 | $42.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $61.66 | Facility | None | $46.77 | $57.54 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $51.29 Median $316.23 Typical High $457.09 | Professional | None | $51.29 | $316.23 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $38.02 | Facility | None | $33.88 | $33.88 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | None | $25.12 | $25.12 | $33.88 |
Kaiser Permanente Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $107.15 | Facility | None | $57.54 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $123.03 | Professional | None | $54.95 | $74.13 | $123.03 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $64.57 | Professional | None | $52.48 | $57.54 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $61.66 | Facility | None | $47.86 | $58.88 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $117.49 | Facility | None | $52.48 | $52.48 | $117.49 |
Premera BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | None | $50.12 | $50.12 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $64.57 | Professional | None | $48.98 | $51.29 | $64.57 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $53.70 | Professional | None | $25.70 | $27.54 | $53.70 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $91.20 | Professional | None | $34.67 | $42.66 | $91.20 |
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 $17.78 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $7.24 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.37 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.63 | $4.07 | $4.07 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | NR · New when rented | $52.48 | $52.48 | $52.48 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | NR · New when rented | $50.12 | $50.12 | $57.54 |
Where Washington sits
The same service costs 2.8 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· 12th of 51
$52.48
MT $64.57KS $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.