How much rates vary
Facilitymedian $631 · 10th to 90th $513 to $1,096Professionalmedian $562 · 10th to 90th $295 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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | None | $389.05 | $416.87 | $416.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $676.08 | Facility | None | $512.86 | $630.96 | $676.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $562.34 Median $4,466.84 Typical High $4,570.88 | Professional | None | $562.34 | $4,466.84 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $446.68 | Facility | None | $398.11 | $398.11 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,174.90 | Facility | None | $616.60 | $776.25 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,318.26 | Professional | None | $588.84 | $794.33 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | None | $446.68 | $489.78 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $645.65 | Facility | None | $512.86 | $588.84 | $645.65 |
Pacific Source Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,258.93 | Facility | None | $562.34 | $562.34 | $1,258.93 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | None | $537.03 | $537.03 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $691.83 | Professional | None | $524.81 | $562.34 | $691.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $954.99 Typical High $954.99 | Facility | None | $398.11 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $575.44 | Professional | None | $295.12 | $295.12 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $977.24 | Professional | None | $363.08 | $457.09 | $977.24 |
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 $194.98 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $77.62 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $41.69 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | NR · New when rented | $562.34 | $562.34 | $562.34 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | NR · New when rented | $537.03 | $537.03 | $630.96 |
Where Washington sits
The same service costs 3.7 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· 13th of 51
$562
HI $1,096DE $295
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.