How much rates vary
Facilitymedian $692 · 10th to 90th $562 to $1,202Professionalmedian $603 · 10th to 90th $355 to $1,514
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | None | $426.58 | $457.09 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $724.44 | Facility | None | $537.03 | $676.08 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $602.56 Median $4,365.16 Typical High $5,011.87 | Professional | None | $602.56 | $4,365.16 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Facility | None | $489.78 | $489.78 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $1,258.93 | Facility | None | $676.08 | $851.14 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,445.44 | Professional | None | $645.65 | $870.96 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $588.84 | Professional | None | $478.63 | $537.03 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $707.95 | Facility | None | $562.34 | $691.83 | $707.95 |
Pacific Source Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Premera BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,380.38 | Facility | None | $616.60 | $616.60 | $1,380.38 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | None | $575.44 | $575.44 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $758.58 | Professional | None | $575.44 | $602.56 | $758.58 |
United Setting Facility Modifier None Typical Low $323.59 Median $1,071.52 Typical High $1,071.52 | Facility | None | $323.59 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $645.65 | Professional | None | $323.59 | $323.59 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $1,071.52 | Professional | None | $398.11 | $501.19 | $1,071.52 |
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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $45.71 | $45.71 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | NR · New when rented | $616.60 | $616.60 | $616.60 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | NR · New when rented | $575.44 | $575.44 | $676.08 |
Where Washington sits
The same service costs 2.4 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· 9th of 51
$617
IA $776KS $324
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.