How much rates vary
Facilitymedian $47 · 10th to 90th $38 to $81Professionalmedian $42 · 10th to 90th $20 to $117
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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $50.12 | Facility | None | $37.15 | $46.77 | $50.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $251.19 Typical High $363.08 | Professional | None | $41.69 | $251.19 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Facility | None | $27.54 | $27.54 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $87.10 | Facility | None | $45.71 | $57.54 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $97.72 | Professional | None | $43.65 | $58.88 | $97.72 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | None | $48.98 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $38.02 Median $46.77 Typical High $47.86 | Facility | None | $38.02 | $46.77 | $47.86 |
Pacific Source Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Premera BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $93.33 | Facility | None | $41.69 | $41.69 | $93.33 |
Premera BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | None | $39.81 | $39.81 | $46.77 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $51.29 | Professional | None | $38.90 | $41.69 | $51.29 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $42.66 | Professional | None | $20.89 | $21.88 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $72.44 | Professional | None | $26.92 | $33.88 | $72.44 |
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 $14.45 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.75 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.27 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.88 | $3.24 | $3.24 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | NR · New when rented | $41.69 | $41.69 | $41.69 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | NR · New when rented | $39.81 | $39.81 | $46.77 |
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
$41.69
MT $52.48DE $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.