How much rates vary
Facilitymedian $87 · 10th to 90th $71 to $148Professionalmedian $78 · 10th to 90th $42 to $204
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $60.26 | Professional | None | $52.48 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $93.33 | Facility | None | $70.79 | $87.10 | $93.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $77.62 Median $467.74 Typical High $691.83 | Professional | None | $77.62 | $467.74 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | None | $41.69 | $41.69 | $56.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $162.18 | Facility | None | $85.11 | $109.65 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $186.21 | Professional | None | $81.28 | $109.65 | $186.21 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | None | $60.26 | $60.26 | $91.20 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $93.33 | Facility | None | $70.79 | $87.10 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $173.78 | Facility | None | $77.62 | $77.62 | $173.78 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | None | $74.13 | $74.13 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $95.50 | Professional | None | $72.44 | $77.62 | $95.50 |
United Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $134.90 | Facility | None | $112.20 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | None | $39.81 | $41.69 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $138.04 | Professional | None | $51.29 | $63.10 | $138.04 |
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 $26.92 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.72 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $7.94 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.37 | $6.03 | $6.03 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | NR · New when rented | $77.62 | $77.62 | $77.62 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | NR · New when rented | $74.13 | $74.13 | $87.10 |
Where Washington sits
The same service costs 2.6 times more in Kansas than in Arizona. 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
$77.62
KS $107AZ $41.69
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.