How much rates vary
Facilitymedian $955 · 10th to 90th $776 to $1,660Professionalmedian $851 · 10th to 90th $363 to $1,862
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $660.69 | Professional | None | $588.84 | $660.69 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $954.99 | Facility | None | $676.08 | $912.01 | $954.99 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $851.14 Median $5,128.61 Typical High $6,025.60 | Professional | None | $851.14 | $5,128.61 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $549.54 | Facility | None | $489.78 | $489.78 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,778.28 | Facility | None | $933.25 | $1,202.26 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,778.28 | Professional | None | $912.01 | $1,230.27 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $831.76 | Professional | None | $676.08 | $758.58 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $977.24 | Facility | None | $776.25 | $870.96 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,905.46 | Facility | None | $870.96 | $870.96 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | None | $812.83 | $812.83 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,047.13 | Professional | None | $794.33 | $851.14 | $1,047.13 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $1,288.25 | Facility | None | $524.81 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $776.25 | Professional | None | $371.54 | $398.11 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,513.56 | Professional | None | $478.63 | $707.95 | $1,513.56 |
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 $295.12 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $295.12 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $117.49 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $58.88 | $66.07 | $66.07 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | NR · New when rented | $870.96 | $870.96 | $870.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | NR · New when rented | $812.83 | $812.83 | $954.99 |
Where Washington sits
The same service costs 3.2 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· 5th of 51
$851
HI $1,175DE $363
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.