How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,905 to $4,074Professionalmedian $2,089 · 10th to 90th $1,318 to $5,129
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $2,630.27 | Facility | None | $1,949.84 | $2,344.23 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,089.30 Median $14,791.08 Typical High $17,378.01 | Professional | None | $2,089.30 | $14,791.08 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,819.70 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,290.87 | $2,951.21 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $5,128.61 | Professional | None | $2,238.72 | $3,019.95 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,862.09 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,511.89 | Facility | None | $1,905.46 | $2,344.23 | $2,511.89 |
Pacific Source Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Premera BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,677.35 | Facility | None | $2,137.96 | $2,137.96 | $4,677.35 |
Premera BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,995.26 | $1,995.26 | $2,344.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,089.30 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,715.35 Typical High $3,715.35 | Facility | None | $1,148.15 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,148.15 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,737.80 | $1,778.28 | $3,715.35 |
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 $741.31 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $741.31 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $295.12 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $147.91 | $158.49 | $158.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | NR · New when rented | $2,137.96 | $2,137.96 | $2,137.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | NR · New when rented | $1,995.26 | $1,995.26 | $2,344.23 |
Where Washington sits
The same service costs 2.3 times more in Wisconsin 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· 15th of 51
$2,138
WI $2,951PA $1,288
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.