How much rates vary
Facilitymedian $398 · 10th to 90th $324 to $708Professionalmedian $355 · 10th to 90th $195 to $891
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $275.42 | Professional | None | $245.47 | $275.42 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $363.08 Median $398.11 Typical High $489.78 | Facility | None | $363.08 | $398.11 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $354.81 Median $3,801.89 Typical High $4,168.69 | Professional | None | $354.81 | $3,801.89 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Facility | None | $263.03 | $263.03 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Kaiser Permanente Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $741.31 | Facility | None | $398.11 | $501.19 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $912.01 | Professional | None | $380.19 | $512.86 | $912.01 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | None | $281.84 | $316.23 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $416.87 | Facility | None | $323.59 | $398.11 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $812.83 | Facility | None | $363.08 | $363.08 | $812.83 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None | $338.84 | $338.84 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $436.52 | Professional | None | $338.84 | $354.81 | $436.52 |
United Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $676.08 | Facility | None | $275.42 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $398.11 | Professional | None | $194.98 | $204.17 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $630.96 | Professional | None | $251.19 | $295.12 | $630.96 |
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 $123.03 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $48.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $24.55 | $27.54 | $27.54 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | NR · New when rented | $363.08 | $363.08 | $363.08 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | NR · New when rented | $338.84 | $338.84 | $398.11 |
Where Washington sits
The same service costs 4.7 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· 11th of 51
$363
HI $912DE $195
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.