How much rates vary
Facilitymedian $191 · 10th to 90th $170 to $331Professionalmedian $170 · 10th to 90th $93 to $363
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 $112.20 Median $131.83 Typical High $141.25 | Professional | None | $112.20 | $131.83 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | None | $147.91 | $147.91 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $158.49 Median $186.21 Typical High $204.17 | Facility | None | $158.49 | $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 $107.15 Median $125.89 Typical High $141.25 | Facility | None | $107.15 | $125.89 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
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 $186.21 Median $239.88 Typical High $407.38 | Professional | None | $186.21 | $239.88 | $407.38 |
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 $190.55 Median $194.98 Typical High $199.53 | Facility | None | $190.55 | $194.98 | $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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $177.83 | Professional | None | $89.13 | $89.13 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $295.12 | Professional | None | $120.23 | $138.04 | $295.12 |
5 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 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $10.72 | $10.72 | $10.72 |
Where Washington sits
The same service costs 2.1 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· 13th of 51
$170
HI $200DE $93.33
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.