How much rates vary
Facilitymedian $776 · 10th to 90th $631 to $1,349Professionalmedian $692 · 10th to 90th $275 to $1,349
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $512.86 | Professional | None | $501.19 | $512.86 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $724.44 Typical High $776.25 | Facility | None | $537.03 | $724.44 | $776.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $4,786.30 | Professional | None | $691.83 | $691.83 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Facility | None | $380.19 | $380.19 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Kaiser Permanente Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $1,445.44 | Facility | None | $758.58 | $977.24 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,445.44 | Professional | None | $724.44 | $977.24 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $676.08 | Professional | None | $549.54 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $794.33 | Facility | None | $630.96 | $776.25 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,548.82 | Facility | None | $691.83 | $691.83 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $851.14 | Professional | None | $645.65 | $691.83 | $851.14 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | None | $295.12 | $295.12 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $1,230.27 | Professional | None | $426.58 | $562.34 | $1,230.27 |
4 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 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $47.86 | $51.29 | $51.29 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | NR · New when rented | $691.83 | $691.83 | $691.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | NR · New when rented | $660.69 | $660.69 | $776.25 |
Where Washington sits
The same service costs 3.7 times more in Alaska 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· 9th of 51
$692
AK $1,023DE $275
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.