How much rates vary
Facilitymedian $2,570 · 10th to 90th $2,089 to $4,571Professionalmedian $2,291 · 10th to 90th $1,175 to $5,012
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,737.80 | $1,737.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,511.89 | $2,570.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,290.87 Median $14,125.38 Typical High $16,595.87 | Professional | None | $2,290.87 | $14,125.38 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Facility | None | $1,584.89 | $1,584.89 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,786.30 | Facility | None | $2,570.40 | $3,235.94 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,311.31 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,819.70 | $2,041.74 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,089.30 | $2,454.71 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $5,128.61 | Facility | None | $2,344.23 | $2,344.23 | $5,128.61 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,187.76 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,290.87 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $3,548.13 | Facility | None | $1,445.44 | $3,548.13 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,071.52 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $4,073.80 | Professional | None | $1,348.96 | $1,905.46 | $4,073.80 |
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 $812.83 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $812.83 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $239.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $162.18 | $173.78 | $173.78 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | NR · New when rented | $2,344.23 | $2,344.23 | $2,344.23 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | NR · New when rented | $2,187.76 | $2,187.76 | $2,570.40 |
Where Washington sits
The same service costs 2.7 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
$2,291
HI $3,162DE $1,175
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.