How much rates vary
Facilitymedian $490 · 10th to 90th $398 to $851Professionalmedian $437 · 10th to 90th $209 to $977
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | None | $302.00 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $512.86 | Facility | None | $389.05 | $489.78 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $436.52 Median $2,951.21 Typical High $4,466.84 | Professional | None | $436.52 | $2,951.21 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Kaiser Permanente Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $912.01 | Facility | None | $478.63 | $602.56 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $977.24 | Professional | None | $457.09 | $616.60 | $977.24 |
Molina Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | None | $346.74 | $389.05 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $457.09 Typical High $501.19 | Facility | None | $398.11 | $457.09 | $501.19 |
Pacific Source Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $977.24 | Facility | None | $436.52 | $436.52 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $537.03 | Professional | None | $407.38 | $436.52 | $537.03 |
United Setting Facility Modifier None Typical Low $229.09 Median $707.95 Typical High $707.95 | Facility | None | $229.09 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | None | $218.78 | $218.78 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $776.25 | Professional | None | $263.03 | $354.81 | $776.25 |
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 $151.36 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $30.20 | $32.36 | $32.36 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | NR · New when rented | $436.52 | $436.52 | $436.52 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | NR · New when rented | $416.87 | $416.87 | $489.78 |
Where Washington sits
The same service costs 2.5 times more in Hawaii than in Florida. 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· 7th of 51
$437
HI $501FL $204
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.