How much rates vary
Facilitymedian $282 · 10th to 90th $219 to $490Professionalmedian $251 · 10th to 90th $102 to $550
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | None | $177.83 | $186.21 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $281.84 | Facility | None | $190.55 | $257.04 | $281.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $1,548.82 Typical High $1,659.59 | Professional | None | $251.19 | $1,548.82 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $524.81 | Facility | None | $275.42 | $354.81 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $524.81 | Professional | None | $263.03 | $354.81 | $524.81 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $245.47 | Professional | None | $199.53 | $223.87 | $245.47 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $245.47 Typical High $288.40 | Facility | None | $229.09 | $245.47 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
Premera BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | None | $239.88 | $239.88 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $309.03 | Professional | None | $234.42 | $251.19 | $309.03 |
United Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $354.81 | Facility | None | $158.49 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | None | $109.65 | $109.65 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $446.68 | Professional | None | $134.90 | $204.17 | $446.68 |
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 $87.10 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $26.30 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $17.78 | $18.62 | $18.62 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | NR · New when rented | $251.19 | $251.19 | $251.19 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | NR · New when rented | $239.88 | $239.88 | $281.84 |
Where Washington sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 5th of 51
$251
HI $380FL $102
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.