How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,288 to $2,754Professionalmedian $1,380 · 10th to 90th $724 to $3,311
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | None | $977.24 | $1,047.13 | $1,047.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,230.27 | $1,548.82 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,380.38 Median $9,332.54 Typical High $10,964.78 | Professional | None | $1,380.38 | $9,332.54 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,548.82 | $1,949.84 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,479.11 | $1,995.26 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,096.48 | $1,230.27 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,621.81 | Facility | None | $1,288.25 | $1,479.11 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,162.28 | Facility | None | $1,412.54 | $1,412.54 | $3,162.28 |
Premera BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,318.26 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,380.38 | $1,737.80 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $2,344.23 | Facility | None | $954.99 | $2,344.23 | $2,344.23 |
United Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,412.54 | Professional | None | $724.44 | $724.44 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,454.71 | Professional | None | $912.01 | $1,148.15 | $2,454.71 |
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 $489.78 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $147.91 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $104.71 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | NR · New when rented | $1,412.54 | $1,412.54 | $1,412.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | NR · New when rented | $1,318.26 | $1,318.26 | $1,548.82 |
Where Washington sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 11th of 51
$1,413
HI $2,138DE $661
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.