How much rates vary
Facilitymedian $1,047 · 10th to 90th $933 to $1,862Professionalmedian $933 · 10th to 90th $468 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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,122.02 | Facility | None | $891.25 | $1,047.13 | $1,122.02 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $933.25 Median $5,623.41 Typical High $8,317.64 | Professional | None | $933.25 | $5,623.41 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,318.26 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,318.26 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $912.01 | Professional | None | $741.31 | $831.76 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,071.52 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,089.30 | Facility | None | $933.25 | $933.25 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Professional | None | $891.25 | $891.25 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,148.15 | Professional | None | $870.96 | $933.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $954.99 | Professional | None | $489.78 | $489.78 | $954.99 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,659.59 | Professional | None | $676.08 | $776.25 | $1,659.59 |
4 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 $323.59 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $72.44 | $72.44 |
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· 15th of 51
$933
HI $1,175DE $447
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.