How much rates vary
Facilitymedian $589 · 10th to 90th $479 to $1,023Professionalmedian $525 · 10th to 90th $309 to $1,380
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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | None | $371.54 | $389.05 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $707.95 | Facility | None | $524.81 | $588.84 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $524.81 Median $4,073.80 Typical High $6,165.95 | Professional | None | $524.81 | $4,073.80 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Kaiser Permanente Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,096.48 | Facility | None | $575.44 | $741.31 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,348.96 | Professional | None | $549.54 | $741.31 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | None | $416.87 | $467.74 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $602.56 | Facility | None | $478.63 | $588.84 | $602.56 |
Pacific Source Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Facility | None | $524.81 | $524.81 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $645.65 | Professional | None | $489.78 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $380.19 Median $977.24 Typical High $977.24 | Facility | None | $380.19 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $933.25 | Professional | None | $371.54 | $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 $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $186.21 | $194.98 | $194.98 |
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 $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $38.90 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | NR · New when rented | $524.81 | $524.81 | $524.81 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | NR · New when rented | $501.19 | $501.19 | $588.84 |
Where Washington sits
The same service costs 2.7 times more in Hawaii 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· 11th of 51
$525
HI $759KS $282
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.