How much rates vary
Facilitymedian $120 · 10th to 90th $98 to $214Professionalmedian $107 · 10th to 90th $51 to $309
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | None | $75.86 | $83.18 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $128.82 | Facility | None | $97.72 | $120.23 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $645.65 Typical High $954.99 | Professional | None | $107.15 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Kaiser Permanente Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $223.87 | Facility | None | $120.23 | $151.36 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | None | $114.82 | $154.88 | $251.19 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $125.89 | Professional | None | $60.26 | $60.26 | $125.89 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $125.89 | Facility | None | $97.72 | $120.23 | $125.89 |
Pacific Source Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $239.88 | Facility | None | $109.65 | $109.65 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | None | $102.33 | $102.33 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $131.83 | Professional | None | $102.33 | $107.15 | $131.83 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $112.20 | Professional | None | $53.70 | $56.23 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $190.55 | Professional | None | $66.07 | $89.13 | $190.55 |
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 $37.15 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 55 · Aftercare only | $11.22 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.41 | $8.32 | $8.32 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | NR · New when rented | $109.65 | $109.65 | $109.65 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | NR · New when rented | $102.33 | $102.33 | $120.23 |
Where Washington sits
The same service costs 2.6 times more in Hawaii 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
$110
HI $132DE $51.29
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.