How much rates vary
Facilitymedian $708 · 10th to 90th $562 to $1,230Professionalmedian $631 · 10th to 90th $363 to $1,445
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | None | $436.52 | $467.74 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $707.95 | Facility | None | $501.19 | $676.08 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $3,630.78 Typical High $4,570.88 | Professional | None | $630.96 | $3,630.78 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $537.03 | Facility | None | $501.19 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Kaiser Permanente Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,318.26 | Facility | None | $691.83 | $870.96 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,318.26 | Professional | None | $660.69 | $891.25 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | None | $501.19 | $562.34 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $724.44 | Facility | None | $562.34 | $575.44 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,412.54 | Facility | None | $630.96 | $630.96 | $1,412.54 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $776.25 | Professional | None | $588.84 | $630.96 | $776.25 |
United Setting Facility Modifier None Typical Low $288.40 Median $954.99 Typical High $954.99 | Facility | None | $288.40 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $562.34 | Professional | None | $288.40 | $288.40 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,122.02 | Professional | None | $354.81 | $512.86 | $1,122.02 |
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 $218.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $89.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $46.77 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | NR · New when rented | $630.96 | $630.96 | $630.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | NR · New when rented | $602.56 | $602.56 | $707.95 |
Where Washington sits
The same service costs 2.3 times more in Wisconsin 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· 3rd of 51
$631
WI $776FL $339
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.