How much rates vary
Facilitymedian $295 · 10th to 90th $240 to $525Professionalmedian $263 · 10th to 90th $138 to $537
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | None | $181.97 | $204.17 | $204.17 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $295.12 Typical High $346.74 | Facility | None | $257.04 | $295.12 | $346.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $2,818.38 | Professional | None | $263.03 | $263.03 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | None | $138.04 | $138.04 | $186.21 |
Kaiser Permanente Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $549.54 | Facility | None | $295.12 | $371.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $676.08 | Professional | None | $281.84 | $380.19 | $676.08 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $257.04 | Professional | None | $208.93 | $234.42 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $309.03 | Facility | None | $239.88 | $295.12 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $602.56 | Facility | None | $269.15 | $269.15 | $602.56 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None | $251.19 | $251.19 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $323.59 | Professional | None | $251.19 | $263.03 | $323.59 |
United Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $489.78 | Facility | None | $263.03 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $295.12 | Professional | None | $144.54 | $151.36 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $467.74 | Professional | None | $181.97 | $218.78 | $467.74 |
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 $91.20 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $36.31 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $20.42 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | NR · New when rented | $269.15 | $269.15 | $269.15 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | NR · New when rented | $251.19 | $251.19 | $295.12 |
Where Washington sits
The same service costs 5.0 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· 14th of 51
$263
HI $692DE $138
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.