How much rates vary
Facilitymedian $182 · 10th to 90th $148 to $316Professionalmedian $162 · 10th to 90th $76 to $372
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | None | $114.82 | $123.03 | $123.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $181.97 | Facility | None | $138.04 | $181.97 | $181.97 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $162.18 Median $1,202.26 Typical High $1,230.27 | Professional | None | $162.18 | $1,202.26 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Kaiser Permanente Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $338.84 | Facility | None | $177.83 | $229.09 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Professional | None | $173.78 | $229.09 | $354.81 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | None | $128.82 | $144.54 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $186.21 | Facility | None | $147.91 | $165.96 | $186.21 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $363.08 | Facility | None | $162.18 | $162.18 | $363.08 |
Premera BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | None | $151.36 | $162.18 | $199.53 |
United Setting Facility Modifier None Typical Low $107.15 Median $263.03 Typical High $263.03 | Facility | None | $107.15 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | None | $79.43 | $79.43 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $288.40 | Professional | None | $95.50 | $134.90 | $288.40 |
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 $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.02 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | NR · New when rented | $162.18 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | NR · New when rented | $154.88 | $154.88 | $181.97 |
Where Washington sits
The same service costs 4.1 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· 8th of 51
$162
HI $295DE $72.44
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.