How much rates vary
Facilitymedian $646 · 10th to 90th $501 to $1,122Professionalmedian $575 · 10th to 90th $263 to $1,259
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | None | $407.38 | $426.58 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $645.65 | Facility | None | $446.68 | $602.56 | $645.65 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,981.07 Typical High $4,570.88 | Professional | None | $575.44 | $3,981.07 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Kaiser Permanente Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $1,202.26 | Facility | None | $630.96 | $812.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,202.26 | Professional | None | $602.56 | $812.83 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $562.34 | Professional | None | $457.09 | $512.86 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $660.69 | Facility | None | $501.19 | $524.81 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $1,288.25 | Facility | None | $575.44 | $575.44 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $707.95 | Professional | None | $537.03 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $851.14 | Facility | None | $416.87 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $501.19 | Professional | None | $257.04 | $257.04 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,023.29 | Professional | None | $316.23 | $478.63 | $1,023.29 |
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 $199.53 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $40.74 | $42.66 | $42.66 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | NR · New when rented | $575.44 | $575.44 | $575.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | NR · New when rented | $549.54 | $549.54 | $645.65 |
Where Washington sits
The same service costs 3.7 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· 5th of 51
$575
HI $977DE $263
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.