How much rates vary
Facilitymedian $4,786 · 10th to 90th $3,890 to $8,318Professionalmedian $4,266 · 10th to 90th $1,995 to $9,333
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $4,786.30 | Facility | None | $3,388.44 | $4,570.88 | $4,786.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,265.80 Median $24,547.09 Typical High $30,199.52 | Professional | None | $4,265.80 | $24,547.09 | $30,199.52 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Facility | None | $2,754.23 | $2,754.23 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,995.26 | $1,995.26 | $2,754.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $8,912.51 | Facility | None | $4,677.35 | $5,888.44 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,466.84 Median $6,025.60 Typical High $8,912.51 | Professional | None | $4,466.84 | $6,025.60 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $4,168.69 | Professional | None | $3,388.44 | $3,715.35 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $4,897.79 | Facility | None | $3,890.45 | $4,786.30 | $4,897.79 |
Premera BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $9,549.93 | Facility | None | $4,265.80 | $4,265.80 | $9,549.93 |
Premera BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,073.80 | $4,786.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $5,248.07 | Professional | None | $3,981.07 | $4,265.80 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $6,456.54 Typical High $6,456.54 | Facility | None | $2,398.83 | $6,456.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,995.26 | $1,995.26 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $7,413.10 | Professional | None | $2,454.71 | $3,467.37 | $7,413.10 |
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 $1,479.11 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,479.11 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $588.84 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $446.68 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $295.12 | $316.23 | $316.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | NR · New when rented | $4,265.80 | $4,265.80 | $4,265.80 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Professional | NR · New when rented | $4,073.80 | $4,073.80 | $4,786.30 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 4th of 51
$4,266
HI $5,129WV $1,995
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.