How much rates vary
Facilitymedian $562 · 10th to 90th $457 to $1,000Professionalmedian $501 · 10th to 90th $269 to $1,096
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | None | $354.81 | $380.19 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $562.34 | Facility | None | $380.19 | $501.19 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $2,951.21 Typical High $3,630.78 | Professional | None | $501.19 | $2,951.21 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
Kaiser Permanente Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $1,047.13 | Facility | None | $562.34 | $707.95 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,047.13 | Professional | None | $537.03 | $707.95 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $489.78 | Professional | None | $398.11 | $446.68 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $575.44 | Facility | None | $457.09 | $562.34 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,148.15 | Facility | None | $512.86 | $512.86 | $1,148.15 |
Premera BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | None | $478.63 | $478.63 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $616.60 | Professional | None | $478.63 | $501.19 | $616.60 |
United Setting Facility Modifier None Typical Low $223.87 Median $707.95 Typical High $707.95 | Facility | None | $223.87 | $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 $269.15 Median $416.87 Typical High $891.25 | Professional | None | $269.15 | $416.87 | $891.25 |
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 $177.83 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $177.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $38.02 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | NR · New when rented | $512.86 | $512.86 | $512.86 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | NR · New when rented | $478.63 | $478.63 | $562.34 |
Where Washington sits
The same service costs 2.2 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· 6th of 51
$501
WI $550PA $245
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.