How much rates vary
Facilitymedian $63 · 10th to 90th $51 to $110Professionalmedian $56 · 10th to 90th $27 to $132
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | None | $38.90 | $43.65 | $43.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $67.61 | Facility | None | $50.12 | $61.66 | $67.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $56.23 Median $338.84 Typical High $489.78 | Professional | None | $56.23 | $338.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $40.74 | Facility | None | $37.15 | $37.15 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | None | $26.92 | $26.92 | $37.15 |
Kaiser Permanente Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $117.49 | Facility | None | $61.66 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $131.83 | Professional | None | $58.88 | $79.43 | $131.83 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $69.18 | Professional | None | $56.23 | $63.10 | $69.18 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $66.07 | Facility | None | $51.29 | $63.10 | $66.07 |
Pacific Source Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $125.89 | Facility | None | $56.23 | $56.23 | $125.89 |
Premera BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | None | $53.70 | $53.70 | $63.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $69.18 | Professional | None | $52.48 | $56.23 | $69.18 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $57.54 | Professional | None | $28.18 | $29.51 | $57.54 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $97.72 | Professional | None | $35.48 | $45.71 | $97.72 |
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 $19.50 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.50 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $5.75 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.89 | $4.37 | $4.37 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | NR · New when rented | $56.23 | $56.23 | $56.23 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | NR · New when rented | $53.70 | $53.70 | $63.10 |
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· 11th of 51
$56.23
MT $69.18DE $26.92
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.