How much rates vary
Facilitymedian $603 · 10th to 90th $490 to $1,047Professionalmedian $537 · 10th to 90th $251 to $1,175
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $602.56 | Facility | None | $416.87 | $562.34 | $602.56 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $537.03 Median $3,388.44 Typical High $3,801.89 | Professional | None | $537.03 | $3,388.44 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Facility | None | $346.74 | $346.74 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Kaiser Permanente Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,122.02 | Facility | None | $588.84 | $741.31 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,122.02 | Professional | None | $562.34 | $758.58 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $524.81 | Professional | None | $426.58 | $467.74 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $616.60 | Facility | None | $489.78 | $602.56 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,202.26 | Facility | None | $537.03 | $537.03 | $1,202.26 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $660.69 | Professional | None | $501.19 | $537.03 | $660.69 |
United Setting Facility Modifier None Typical Low $251.19 Median $812.83 Typical High $812.83 | Facility | None | $251.19 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $489.78 | Professional | None | $251.19 | $251.19 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $933.25 | Professional | None | $302.00 | $436.52 | $933.25 |
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 $186.21 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $39.81 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | NR · New when rented | $537.03 | $537.03 | $537.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | NR · New when rented | $512.86 | $512.86 | $602.56 |
Where Washington sits
The same service costs 2.9 times more in Iowa than in Kansas. 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
$537
IA $603KS $209
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.