How much rates vary
Facilitymedian $7,943 · 10th to 90th $6,457 to $13,804Professionalmedian $7,079 · 10th to 90th $3,467 to $13,804
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,011.87 | $5,248.07 | $5,248.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5,623.41 Median $7,413.10 Typical High $7,943.28 | Facility | None | $5,623.41 | $7,413.10 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $53,703.18 | Professional | None | $7,079.46 | $7,079.46 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Kaiser Permanente Setting Facility Modifier None Typical Low $7,762.47 Median $10,000.00 Typical High $14,791.08 | Facility | None | $7,762.47 | $10,000.00 | $14,791.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,413.10 Median $10,000.00 Typical High $14,791.08 | Professional | None | $7,413.10 | $10,000.00 | $14,791.08 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $6,918.31 | Professional | None | $5,011.87 | $5,623.41 | $6,918.31 |
Pacific Source Setting Facility Modifier None Typical Low $6,456.54 Median $7,943.28 Typical High $8,128.31 | Facility | None | $6,456.54 | $7,943.28 | $8,128.31 |
Premera BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $15,848.93 | Facility | None | $7,079.46 | $7,079.46 | $15,848.93 |
Premera BCBS Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,943.28 | Professional | None | $6,760.83 | $6,760.83 | $7,943.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,606.93 Median $7,079.46 Typical High $8,709.64 | Professional | None | $6,606.93 | $7,079.46 | $8,709.64 |
United Setting Facility Modifier None Typical Low $4,897.79 Median $10,000.00 Typical High $10,000.00 | Facility | None | $4,897.79 | $10,000.00 | $10,000.00 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $6,025.60 | Professional | None | $3,019.95 | $3,019.95 | $6,025.60 |
Wellpoint Setting Professional Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $12,589.25 | Professional | None | $3,630.78 | $5,754.40 | $12,589.25 |
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 $2,454.71 Median $2,630.27 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,454.71 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | 53 · Discontinued | $1,000.00 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $741.31 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | 56 · Pre-op care only | $501.19 | $524.81 | $524.81 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | NR · New when rented | $7,079.46 | $7,079.46 | $7,079.46 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $6,760.83 Median $6,760.83 Typical High $7,943.28 | Professional | NR · New when rented | $6,760.83 | $6,760.83 | $7,943.28 |
Where Washington sits
The same service costs 3.9 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· 9th of 51
$7,079
HI $12,882DC $3,311
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.