How much rates vary
Facilitymedian $191 · 10th to 90th $155 to $331Professionalmedian $170 · 10th to 90th $85 to $389
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $134.90 | Professional | None | $107.15 | $131.83 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $199.53 | Professional | None | $147.91 | $199.53 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $204.17 | Facility | None | $154.88 | $186.21 | $204.17 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $1,023.29 Typical High $1,513.56 | Professional | None | $169.82 | $1,023.29 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $125.89 | Facility | None | $112.20 | $112.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
Kaiser Permanente Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $346.74 | Facility | None | $186.21 | $234.42 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $398.11 | Professional | None | $177.83 | $239.88 | $398.11 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $162.18 | Professional | None | $134.90 | $147.91 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $199.53 | Facility | None | $154.88 | $190.55 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $380.19 | Facility | None | $169.82 | $169.82 | $380.19 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None | $162.18 | $162.18 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $208.93 | Professional | None | $158.49 | $169.82 | $208.93 |
United Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $295.12 | Facility | None | $245.47 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $177.83 | Professional | None | $85.11 | $89.13 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $295.12 | Professional | None | $112.20 | $138.04 | $295.12 |
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 $57.54 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.75 | $13.18 | $13.18 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | NR · New when rented | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | NR · New when rented | $162.18 | $162.18 | $186.21 |
Where Washington sits
The same service costs 2.3 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· 13th of 51
$170
HI $200DE $85.11
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.