How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,349 to $2,884Professionalmedian $1,479 · 10th to 90th $891 to $3,467
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,023.29 | $1,096.48 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,258.93 | $1,621.81 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $8,511.38 Typical High $12,589.25 | Professional | None | $1,479.11 | $8,511.38 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Facility | None | $1,230.27 | $1,230.27 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $3,090.30 | Facility | None | $1,621.81 | $2,041.74 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,548.82 | $2,089.30 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,288.25 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,348.96 | $1,659.59 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,479.11 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,380.38 | $1,479.11 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,041.74 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | None | $741.31 | $741.31 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,570.40 | Professional | None | $912.01 | $1,202.26 | $2,570.40 |
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 $512.86 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $512.86 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $109.65 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | NR · New when rented | $1,479.11 | $1,479.11 | $1,479.11 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | NR · New when rented | $1,412.54 | $1,412.54 | $1,659.59 |
Where Washington sits
The same service costs 2.1 times more in Wisconsin 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· 12th of 51
$1,479
WI $1,820FL $871
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.