How much rates vary
Facilitymedian $2,692 · 10th to 90th $2,188 to $4,677Professionalmedian $2,344 · 10th to 90th $1,288 to $6,166
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,659.59 | $1,778.28 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $2,818.38 | Facility | None | $2,089.30 | $2,630.27 | $2,818.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,344.23 Median $15,848.93 Typical High $20,892.96 | Professional | None | $2,344.23 | $15,848.93 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,630.27 | $3,311.31 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $3,388.44 Typical High $5,370.32 | Professional | None | $2,511.89 | $3,388.44 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,089.30 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,019.95 | Facility | None | $2,187.76 | $2,691.53 | $3,019.95 |
Premera BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,370.32 | Facility | None | $2,398.83 | $2,398.83 | $5,370.32 |
Premera BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,630.27 | Professional | None | $2,290.87 | $2,290.87 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,344.23 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $3,981.07 Typical High $3,981.07 | Facility | None | $1,548.82 | $3,981.07 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,202.26 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,479.11 | $1,949.84 | $4,168.69 |
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 $831.76 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $831.76 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $331.13 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $251.19 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $165.96 | $177.83 | $177.83 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | NR · New when rented | $2,398.83 | $2,398.83 | $2,398.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,290.87 Median $2,290.87 Typical High $2,630.27 | Professional | NR · New when rented | $2,290.87 | $2,290.87 | $2,630.27 |
Where Washington sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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
$2,399
HI $3,467MD $1,288
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.