How much rates vary
Facilitymedian $1,148 · 10th to 90th $933 to $1,995Professionalmedian $1,023 · 10th to 90th $537 to $2,630
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | None | $741.31 | $794.33 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,380.38 | Facility | None | $1,023.29 | $1,148.15 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,023.29 Median $10,232.93 Typical High $11,220.18 | Professional | None | $1,023.29 | $10,232.93 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,137.96 | Facility | None | $1,122.02 | $1,445.44 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,479.11 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $812.83 Typical High $1,000.00 | Professional | None | $91.20 | $812.83 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,174.90 | Facility | None | $933.25 | $1,148.15 | $1,174.90 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
Premera BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,258.93 | Professional | None | $954.99 | $1,023.29 | $1,258.93 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,905.46 Typical High $1,905.46 | Facility | None | $912.01 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $1,148.15 | Professional | None | $562.34 | $588.84 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,819.70 | Professional | None | $741.31 | $851.14 | $1,819.70 |
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 $371.54 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $79.43 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | NR · New when rented | $1,047.13 | $1,047.13 | $1,047.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | NR · New when rented | $977.24 | $977.24 | $1,148.15 |
Where Washington sits
The same service costs 4.6 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· 13th of 51
$1,047
HI $2,455DE $537
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.