How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,230 to $2,630Professionalmedian $1,349 · 10th to 90th $692 to $3,311
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,000.00 | Professional | None | $933.25 | $1,000.00 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,513.56 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $11,748.98 | Professional | None | $1,348.96 | $8,128.31 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,818.38 | Facility | None | $1,479.11 | $1,862.09 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,412.54 | $1,905.46 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,174.90 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,584.89 | Facility | None | $1,230.27 | $1,513.56 | $1,584.89 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,019.95 | Facility | None | $1,348.96 | $1,348.96 | $3,019.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,288.25 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,348.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,380.38 | Professional | None | $707.95 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,344.23 | Professional | None | $977.24 | $1,096.48 | $2,344.23 |
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 $467.74 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $467.74 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $190.55 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $93.33 | $100.00 | $100.00 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | NR · New when rented | $1,348.96 | $1,348.96 | $1,348.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | NR · New when rented | $1,288.25 | $1,288.25 | $1,513.56 |
Where Washington sits
The same service costs 2.6 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· 12th of 51
$1,349
MT $1,660DE $646
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.