How much rates vary
Facilitymedian $708 · 10th to 90th $575 to $1,259Professionalmedian $631 · 10th to 90th $302 to $1,479
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $724.44 | Facility | None | $537.03 | $707.95 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $3,715.35 Typical High $5,248.07 | Professional | None | $630.96 | $3,715.35 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,318.26 | Facility | None | $707.95 | $891.25 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | None | $501.19 | $562.34 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $724.44 | Facility | None | $575.44 | $707.95 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,445.44 | Facility | None | $645.65 | $645.65 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $776.25 | Professional | None | $602.56 | $630.96 | $776.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Facility | None | $851.14 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $616.60 | Professional | None | $316.23 | $316.23 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $1,122.02 | Professional | None | $398.11 | $524.81 | $1,122.02 |
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 $223.87 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $223.87 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $47.86 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | NR · New when rented | $645.65 | $645.65 | $645.65 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | NR · New when rented | $602.56 | $602.56 | $707.95 |
Where Washington sits
The same service costs 2.8 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· 10th of 51
$631
HI $794DE $288
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.