How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,467 to $7,586Professionalmedian $3,802 · 10th to 90th $1,820 to $8,128
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,691.53 | $2,884.03 | $2,884.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $4,265.80 | Facility | None | $2,884.03 | $3,890.45 | $4,265.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,801.89 Median $22,908.68 Typical High $26,915.35 | Professional | None | $3,801.89 | $22,908.68 | $26,915.35 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,754.23 | Facility | None | $2,454.71 | $2,454.71 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4,265.80 Median $5,370.32 Typical High $7,943.28 | Facility | None | $4,265.80 | $5,370.32 | $7,943.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $7,943.28 | Professional | None | $4,073.80 | $5,370.32 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,715.35 | Professional | None | $3,019.95 | $3,388.44 | $3,715.35 |
Pacific Source Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $4,365.16 | Facility | None | $3,467.37 | $3,981.07 | $4,365.16 |
Premera BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $8,709.64 | Facility | None | $3,890.45 | $3,890.45 | $8,709.64 |
Premera BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,630.78 | $3,630.78 | $4,265.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,630.78 | $3,801.89 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,370.32 Typical High $5,370.32 | Facility | None | $2,290.87 | $5,370.32 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,235.94 | Professional | None | $1,659.59 | $1,659.59 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $6,760.83 | Professional | None | $1,995.26 | $3,162.28 | $6,760.83 |
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 $1,348.96 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,348.96 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $398.11 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $269.15 | $288.40 | $288.40 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | NR · New when rented | $3,890.45 | $3,890.45 | $3,890.45 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | NR · New when rented | $3,630.78 | $3,630.78 | $4,265.80 |
Where Washington sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 3rd of 51
$3,802
HI $5,623DC $1,778
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.