How much rates vary
Facilitymedian $417 · 10th to 90th $339 to $724Professionalmedian $372 · 10th to 90th $174 to $851
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | None | $257.04 | $275.42 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $416.87 Typical High $416.87 | Facility | None | $309.03 | $416.87 | $416.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $2,290.87 Typical High $3,548.13 | Professional | None | $371.54 | $2,290.87 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Kaiser Permanente Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $776.25 | Facility | None | $407.38 | $512.86 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $812.83 | Professional | None | $389.05 | $524.81 | $812.83 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $354.81 | Professional | None | $295.12 | $323.59 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $436.52 | Facility | None | $338.84 | $416.87 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $831.76 | Facility | None | $371.54 | $371.54 | $831.76 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $457.09 | Professional | None | $346.74 | $371.54 | $457.09 |
United Setting Facility Modifier None Typical Low $190.55 Median $602.56 Typical High $602.56 | Facility | None | $190.55 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $354.81 | Professional | None | $181.97 | $181.97 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $645.65 | Professional | None | $229.09 | $302.00 | $645.65 |
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 $128.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $27.54 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | NR · New when rented | $371.54 | $371.54 | $371.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | NR · New when rented | $354.81 | $354.81 | $416.87 |
Where Washington sits
The same service costs 2.7 times more in Montana 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· 8th of 51
$372
MT $457DE $170
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.