How much rates vary
Facilitymedian $288 · 10th to 90th $219 to $490Professionalmedian $257 · 10th to 90th $105 to $562
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | None | $181.97 | $190.55 | $190.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $288.40 | Facility | None | $194.98 | $257.04 | $288.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $1,513.56 Typical High $1,862.09 | Professional | None | $257.04 | $1,513.56 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $154.88 | Facility | None | $138.04 | $138.04 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | None | $102.33 | $102.33 | $138.04 |
Kaiser Permanente Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $537.03 | Facility | None | $281.84 | $363.08 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $537.03 | Professional | None | $269.15 | $363.08 | $537.03 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | None | $204.17 | $229.09 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $295.12 | Facility | None | $223.87 | $234.42 | $295.12 |
Pacific Source Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $575.44 | Facility | None | $257.04 | $257.04 | $575.44 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $316.23 | Professional | None | $239.88 | $257.04 | $316.23 |
United Setting Facility Modifier None Typical Low $154.88 Median $363.08 Typical High $363.08 | Facility | None | $154.88 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None | $109.65 | $109.65 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $457.09 | Professional | None | $134.90 | $213.80 | $457.09 |
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 $89.13 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $26.92 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $18.20 | $19.05 | $19.05 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | NR · New when rented | $257.04 | $257.04 | $257.04 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | NR · New when rented | $245.47 | $245.47 | $288.40 |
Where Washington sits
The same service costs 3.5 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· 3rd of 51
$257
HI $363DE $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.