How much rates vary
Facilitymedian $5,888 · 10th to 90th $4,786 to $10,233Professionalmedian $5,129 · 10th to 90th $2,692 to $11,220
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,630.78 | $3,890.45 | $3,890.45 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $5,888.44 | Facility | None | $3,981.07 | $5,370.32 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5,128.61 Median $30,902.95 Typical High $34,673.69 | Professional | None | $5,128.61 | $30,902.95 | $34,673.69 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,890.45 | Facility | None | $3,630.78 | $3,630.78 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,691.53 | $2,691.53 | $3,630.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $10,715.19 | Facility | None | $5,754.40 | $7,244.36 | $10,715.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,495.41 Median $7,244.36 Typical High $10,715.19 | Professional | None | $5,495.41 | $7,244.36 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,570.88 | $5,011.87 |
Pacific Source Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $6,025.60 | Facility | None | $4,786.30 | $5,370.32 | $6,025.60 |
Premera BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $11,748.98 | Facility | None | $5,248.07 | $5,248.07 | $11,748.98 |
Premera BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,011.87 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $6,456.54 | Professional | None | $4,897.79 | $5,128.61 | $6,456.54 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $7,413.10 Typical High $7,413.10 | Facility | None | $3,311.31 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,466.84 | Professional | None | $2,290.87 | $2,290.87 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $9,120.11 | Professional | None | $2,818.38 | $4,265.80 | $9,120.11 |
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 $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,819.70 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $724.44 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $549.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $363.08 | $389.05 | $389.05 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | NR · New when rented | $5,248.07 | $5,248.07 | $5,248.07 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $5,011.87 Median $5,011.87 Typical High $5,754.40 | Professional | NR · New when rented | $5,011.87 | $5,011.87 | $5,754.40 |
Where Washington sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 8th of 51
$5,129
HI $7,413PA $2,455
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.