How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,660 to $3,548Professionalmedian $1,820 · 10th to 90th $1,175 to $5,129
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,348.96 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,819.70 | $2,041.74 | $2,454.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $14,125.38 Typical High $15,848.93 | Professional | None | $1,819.70 | $14,125.38 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Facility | None | $1,621.81 | $1,621.81 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,801.89 | Facility | None | $1,995.26 | $2,511.89 | $3,801.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,570.40 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,445.44 | $1,584.89 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,290.87 | Facility | None | $1,659.59 | $2,041.74 | $2,290.87 |
Pacific Source Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,819.70 | $1,819.70 | $4,073.80 |
Premera BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,737.80 | $1,737.80 | $2,041.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,819.70 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,388.44 Typical High $3,388.44 | Facility | None | $1,380.38 | $3,388.44 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,047.13 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,479.11 | $3,162.28 |
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 $630.96 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $630.96 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $251.19 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $190.55 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $125.89 | $134.90 | $134.90 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | NR · New when rented | $1,819.70 | $1,819.70 | $1,819.70 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | NR · New when rented | $1,737.80 | $1,737.80 | $2,041.74 |
Where Washington sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 14th of 51
$1,820
HI $3,020PA $1,122
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.