How much rates vary
Facilitymedian $603 · 10th to 90th $457 to $1,047Professionalmedian $537 · 10th to 90th $257 to $1,175
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | None | $371.54 | $416.87 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $602.56 | Facility | None | $407.38 | $537.03 | $602.56 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $3,467.37 Typical High $4,168.69 | Professional | None | $537.03 | $3,467.37 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $380.19 | Facility | None | $354.81 | $354.81 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Kaiser Permanente Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,096.48 | Facility | None | $588.84 | $741.31 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,096.48 | Professional | None | $562.34 | $741.31 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $512.86 | Professional | None | $426.58 | $467.74 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $616.60 | Facility | None | $467.74 | $602.56 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,202.26 | Facility | None | $537.03 | $537.03 | $1,202.26 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | None | $512.86 | $512.86 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $660.69 | Professional | None | $501.19 | $537.03 | $660.69 |
United Setting Facility Modifier None Typical Low $309.03 Median $758.58 Typical High $758.58 | Facility | None | $309.03 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $446.68 | Professional | None | $218.78 | $229.09 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $933.25 | Professional | None | $281.84 | $436.52 | $933.25 |
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 $181.97 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $37.15 | $41.69 | $41.69 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | NR · New when rented | $537.03 | $537.03 | $537.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $512.86 Median $512.86 Typical High $588.84 | Professional | NR · New when rented | $512.86 | $512.86 | $588.84 |
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· 3rd of 51
$537
HI $832FL $240
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.