How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,202 to $2,570Professionalmedian $1,318 · 10th to 90th $646 to $3,162
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,479.11 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,318.26 Median $10,232.93 Typical High $13,182.57 | Professional | None | $1,318.26 | $10,232.93 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Facility | None | $870.96 | $870.96 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,445.44 | $1,862.09 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,380.38 | $1,862.09 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,174.90 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,737.80 | Facility | None | $1,202.26 | $1,479.11 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,951.21 | Facility | None | $1,318.26 | $1,318.26 | $2,951.21 |
Premera BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,318.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,513.56 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,318.26 | Professional | None | $676.08 | $676.08 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $2,344.23 | Professional | None | $812.83 | $1,071.52 | $2,344.23 |
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 $457.09 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $186.21 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $97.72 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | NR · New when rented | $1,318.26 | $1,318.26 | $1,318.26 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | NR · New when rented | $1,258.93 | $1,258.93 | $1,479.11 |
Where Washington sits
The same service costs 4.0 times more in Hawaii than in Delaware. 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
$1,318
HI $2,512DE $631
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.