How much rates vary
Facilitymedian $537 · 10th to 90th $437 to $933Professionalmedian $479 · 10th to 90th $209 to $1,047
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | None | $331.13 | $354.81 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $537.03 | Facility | None | $380.19 | $501.19 | $537.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $3,467.37 Typical High $3,467.37 | Professional | None | $478.63 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Kaiser Permanente Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $977.24 | Facility | None | $524.81 | $660.69 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $977.24 | Professional | None | $501.19 | $676.08 | $977.24 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | None | $380.19 | $416.87 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $549.54 | Facility | None | $436.52 | $512.86 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
United Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $707.95 | Facility | None | $389.05 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | None | $213.80 | $213.80 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $831.76 | Professional | None | $269.15 | $389.05 | $831.76 |
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 $165.96 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $35.48 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | NR · New when rented | $478.63 | $478.63 | $478.63 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | NR · New when rented | $457.09 | $457.09 | $524.81 |
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
$479
HI $832DE $204
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.