How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,754 to $5,888Professionalmedian $3,020 · 10th to 90th $1,862 to $7,079
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,238.72 | $2,238.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $3,467.37 | Facility | None | $2,630.27 | $3,388.44 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,019.95 Median $17,782.79 Typical High $23,442.29 | Professional | None | $3,019.95 | $17,782.79 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Facility | None | $2,570.40 | $2,570.40 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,862.09 | $1,862.09 | $2,570.40 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3,311.31 Median $4,168.69 Typical High $6,309.57 | Facility | None | $3,311.31 | $4,168.69 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,265.80 Typical High $6,918.31 | Professional | None | $3,162.28 | $4,265.80 | $6,918.31 |
Molina Setting Professional Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,630.27 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $3,467.37 | Facility | None | $2,754.23 | $3,388.44 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $6,760.83 | Facility | None | $3,019.95 | $3,019.95 | $6,760.83 |
Premera BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,884.03 | $2,884.03 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,818.38 | $3,019.95 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $5,011.87 Typical High $5,011.87 | Facility | None | $1,659.59 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,548.82 | $1,548.82 | $3,019.95 |
Wellpoint Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $5,248.07 | Professional | None | $1,862.09 | $2,454.71 | $5,248.07 |
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 $1,047.13 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,047.13 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $416.87 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $316.23 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $208.93 | $223.87 | $223.87 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | NR · New when rented | $3,019.95 | $3,019.95 | $3,019.95 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,884.03 Median $2,884.03 Typical High $3,388.44 | Professional | NR · New when rented | $2,884.03 | $2,884.03 | $3,388.44 |
Where Washington sits
The same service costs 2.4 times more in Wisconsin than in Washington, DC. 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· 10th of 51
$3,020
WI $3,981DC $1,660
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.