How much rates vary
Facilitymedian $135 · 10th to 90th $102 to $234Professionalmedian $120 · 10th to 90th $49 to $251
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $93.33 | Professional | None | $69.18 | $93.33 | $93.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $134.90 | Facility | None | $91.20 | $120.23 | $134.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $707.95 Typical High $794.33 | Professional | None | $120.23 | $707.95 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $74.13 | Facility | None | $66.07 | $66.07 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
Kaiser Permanente Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $251.19 | Facility | None | $134.90 | $169.82 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $251.19 | Professional | None | $128.82 | $169.82 | $251.19 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $117.49 | Professional | None | $95.50 | $107.15 | $117.49 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $138.04 | Facility | None | $104.71 | $134.90 | $138.04 |
Pacific Source Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $269.15 | Facility | None | $123.03 | $123.03 | $269.15 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $147.91 | Professional | None | $114.82 | $120.23 | $147.91 |
United Setting Facility Modifier None Typical Low $69.18 Median $169.82 Typical High $169.82 | Facility | None | $69.18 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $102.33 | Professional | None | $50.12 | $52.48 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $213.80 | Professional | None | $63.10 | $100.00 | $213.80 |
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 $41.69 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.32 | $9.33 | $9.33 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | NR · New when rented | $123.03 | $123.03 | $123.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | NR · New when rented | $114.82 | $114.82 | $134.90 |
Where Washington sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 5th of 51
$120
HI $174FL $48.98
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.