How much rates vary
Facilitymedian $107 · 10th to 90th $87 to $191Professionalmedian $95 · 10th to 90th $50 to $191
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $81.28 | Professional | None | $60.26 | $74.13 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $117.49 | Facility | None | $87.10 | $104.71 | $117.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $851.14 | Professional | None | $95.50 | $95.50 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Kaiser Permanente Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $199.53 | Facility | None | $107.15 | $134.90 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $223.87 | Professional | None | $102.33 | $138.04 | $223.87 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $120.23 | Professional | None | $95.50 | $107.15 | $120.23 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $109.65 | Facility | None | $87.10 | $100.00 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $218.78 | Facility | None | $97.72 | $97.72 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $117.49 | Professional | None | $91.20 | $95.50 | $117.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $165.96 | Facility | None | $77.62 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $97.72 | Professional | None | $47.86 | $50.12 | $97.72 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $169.82 | Professional | None | $63.10 | $79.43 | $169.82 |
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 $33.11 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.61 | $7.41 | $7.41 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | NR · New when rented | $97.72 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | NR · New when rented | $91.20 | $91.20 | $107.15 |
Where Washington sits
The same service costs 4.1 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· 10th of 51
$97.72
HI $209DE $51.29
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.