How much rates vary
Facilitymedian $5,248 · 10th to 90th $4,266 to $9,333Professionalmedian $4,677 · 10th to 90th $2,630 to $9,550
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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,311.31 | $3,548.13 | $3,548.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $5,623.41 | Facility | None | $4,265.80 | $5,248.07 | $5,623.41 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $45,708.82 | Professional | None | $4,677.35 | $4,677.35 | $45,708.82 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Kaiser Permanente Setting Facility Modifier None Typical Low $5,248.07 Median $6,606.93 Typical High $9,772.37 | Facility | None | $5,248.07 | $6,606.93 | $9,772.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $6,760.83 Typical High $10,715.19 | Professional | None | $5,011.87 | $6,760.83 | $10,715.19 |
Molina Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,570.88 | Professional | None | $3,715.35 | $4,168.69 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $5,370.32 | Facility | None | $4,265.80 | $5,248.07 | $5,370.32 |
Premera BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $10,471.29 | Facility | None | $4,786.30 | $4,786.30 | $10,471.29 |
Premera BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,365.16 Median $4,677.35 Typical High $5,754.40 | Professional | None | $4,365.16 | $4,677.35 | $5,754.40 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $7,943.28 | Facility | None | $4,365.16 | $7,943.28 | $7,943.28 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,677.35 | Professional | None | $2,398.83 | $2,398.83 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $8,317.64 | Professional | None | $2,951.21 | $3,890.45 | $8,317.64 |
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 $1,659.59 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,659.59 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $660.69 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $331.13 | $354.81 | $354.81 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | NR · New when rented | $4,786.30 | $4,786.30 | $4,786.30 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | NR · New when rented | $4,466.84 | $4,466.84 | $5,248.07 |
Where Washington sits
The same service costs 4.3 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· 11th of 51
$4,677
HI $11,220PA $2,630
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.