How much rates vary
Facilitymedian $65 · 10th to 90th $56 to $110Professionalmedian $58 · 10th to 90th $40 to $162
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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $79.43 | Facility | None | $58.88 | $64.57 | $79.43 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $57.54 Median $501.19 Typical High $562.34 | Professional | None | $57.54 | $501.19 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $61.66 | Facility | None | $56.23 | $56.23 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $120.23 | Facility | None | $63.10 | $81.28 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $147.91 | Professional | None | $60.26 | $81.28 | $147.91 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None | $60.26 | $60.26 | $67.61 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $64.57 Typical High $67.61 | Facility | None | $52.48 | $64.57 | $67.61 |
Premera BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $128.82 | Facility | None | $57.54 | $57.54 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $70.79 | Professional | None | $53.70 | $57.54 | $70.79 |
United Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $107.15 | Facility | None | $89.13 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $64.57 | Professional | None | $31.62 | $33.11 | $64.57 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $102.33 | Professional | None | $39.81 | $46.77 | $102.33 |
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 $19.95 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.95 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.94 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $6.03 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $4.47 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | NR · New when rented | $57.54 | $57.54 | $57.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | NR · New when rented | $54.95 | $54.95 | $64.57 |
Where Washington sits
The same service costs 3.1 times more in Hawaii than in Kentucky. 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
$58.88
HI $123KY $39.81
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.