How much rates vary
Facilitymedian $44 · 10th to 90th $35 to $76Professionalmedian $39 · 10th to 90th $20 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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | None | $26.92 | $30.20 | $30.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $46.77 | Facility | None | $34.67 | $43.65 | $46.77 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $38.90 Median $234.42 Typical High $346.74 | Professional | None | $38.90 | $234.42 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $30.20 | Facility | None | $26.92 | $26.92 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | None | $19.95 | $19.95 | $26.92 |
Kaiser Permanente Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $81.28 | Facility | None | $42.66 | $54.95 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $91.20 | Professional | None | $40.74 | $54.95 | $91.20 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.02 | Professional | None | $30.90 | $34.67 | $38.02 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $45.71 | Facility | None | $35.48 | $43.65 | $45.71 |
Premera BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $87.10 | Facility | None | $38.90 | $38.90 | $87.10 |
Premera BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $47.86 | Professional | None | $36.31 | $38.90 | $47.86 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $39.81 | Professional | None | $19.50 | $20.42 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $69.18 | Professional | None | $23.99 | $32.36 | $69.18 |
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 $13.49 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $13.49 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $4.07 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.69 | $3.02 | $3.02 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | NR · New when rented | $38.90 | $38.90 | $38.90 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | NR · New when rented | $37.15 | $37.15 | $43.65 |
Where Washington sits
The same service costs 2.5 times more in Montana than in Delaware. 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
$38.90
MT $48.98DE $19.95
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.