How much rates vary
Facilitymedian $58 · 10th to 90th $47 to $100Professionalmedian $50 · 10th to 90th $25 to $145
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | None | $34.67 | $38.90 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $56.23 Typical High $60.26 | Facility | None | $45.71 | $56.23 | $60.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $50.12 Median $309.03 Typical High $446.68 | Professional | None | $50.12 | $309.03 | $446.68 |
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 $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $104.71 | Facility | None | $56.23 | $70.79 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $120.23 | Professional | None | $53.70 | $72.44 | $120.23 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $58.88 | Facility | None | $46.77 | $57.54 | $58.88 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $114.82 | Facility | None | $51.29 | $51.29 | $114.82 |
Premera BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None | $47.86 | $47.86 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $63.10 | Professional | None | $47.86 | $50.12 | $63.10 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $52.48 | Professional | None | $25.12 | $26.92 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $89.13 | Professional | None | $30.90 | $41.69 | $89.13 |
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 $17.38 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.25 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.47 | $3.89 | $3.89 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | NR · New when rented | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | NR · New when rented | $47.86 | $47.86 | $56.23 |
Where Washington sits
The same service costs 2.6 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· 12th of 51
$51.29
MT $63.10DE $24.55
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.