How much rates vary
Facilitymedian $589 · 10th to 90th $479 to $1,047Professionalmedian $525 · 10th to 90th $288 to $1,230
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | None | $371.54 | $398.11 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $616.60 | Facility | None | $457.09 | $588.84 | $616.60 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $524.81 Median $3,235.94 Typical High $4,168.69 | Professional | None | $524.81 | $3,235.94 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,096.48 | Facility | None | $588.84 | $741.31 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,202.26 | Professional | None | $562.34 | $758.58 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $512.86 | Professional | None | $416.87 | $467.74 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $602.56 | Facility | None | $478.63 | $588.84 | $602.56 |
Pacific Source Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,174.90 | Facility | None | $537.03 | $537.03 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $645.65 | Professional | None | $489.78 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $331.13 Median $870.96 Typical High $870.96 | Facility | None | $331.13 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $524.81 | Professional | None | $269.15 | $269.15 | $524.81 |
Wellpoint Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $933.25 | Professional | None | $331.13 | $436.52 | $933.25 |
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 $186.21 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $39.81 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | NR · New when rented | $537.03 | $537.03 | $537.03 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | NR · New when rented | $501.19 | $501.19 | $588.84 |
Where Washington sits
The same service costs 2.6 times more in Hawaii 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· 12th of 51
$525
HI $741DC $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.