How much rates vary
Facilitymedian $3,020 · 10th to 90th $2,570 to $5,248Professionalmedian $2,692 · 10th to 90th $1,514 to $6,607
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,995.26 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,311.31 | Facility | None | $2,454.71 | $3,019.95 | $3,311.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,691.53 Median $19,498.45 Typical High $24,547.09 | Professional | None | $2,691.53 | $19,498.45 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $5,623.41 | Facility | None | $2,951.21 | $3,801.89 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $3,801.89 Typical High $6,309.57 | Professional | None | $2,818.38 | $3,801.89 | $6,309.57 |
Molina Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,398.83 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $3,467.37 | Facility | None | $3,019.95 | $3,090.30 | $3,467.37 |
Premera BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $6,025.60 | Facility | None | $2,691.53 | $2,691.53 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,570.40 | $3,019.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,511.89 | $2,691.53 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $4,677.35 | Facility | None | $1,949.84 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,412.54 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $4,786.30 | Professional | None | $1,698.24 | $2,238.72 | $4,786.30 |
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 $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $954.99 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $380.19 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $190.55 | $199.53 | $199.53 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | NR · New when rented | $2,691.53 | $2,691.53 | $2,691.53 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | NR · New when rented | $2,570.40 | $2,570.40 | $3,019.95 |
Where Washington sits
The same service costs 3.1 times more in Hawaii than in West Virginia. 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
$2,692
HI $4,677WV $1,514
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.