How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,148 to $2,344Professionalmedian $1,202 · 10th to 90th $759 to $3,162
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | None | $831.76 | $891.25 | $891.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,548.82 | Facility | None | $1,174.90 | $1,348.96 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,202.26 Median $9,772.37 Typical High $10,471.29 | Professional | None | $1,202.26 | $9,772.37 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,454.71 | Facility | None | $1,318.26 | $1,659.59 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,698.24 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,148.15 | Professional | None | $954.99 | $1,047.13 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,096.48 | $1,348.96 | $1,380.38 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,202.26 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,148.15 | $1,148.15 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,202.26 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,000.00 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,348.96 | Professional | None | $691.83 | $691.83 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $2,089.30 | Professional | None | $831.76 | $977.24 | $2,089.30 |
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 $416.87 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $416.87 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $125.89 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $83.18 | $89.13 | $89.13 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | NR · New when rented | $1,202.26 | $1,202.26 | $1,202.26 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,148.15 Median $1,148.15 Typical High $1,318.26 | Professional | NR · New when rented | $1,148.15 | $1,148.15 | $1,318.26 |
Where Washington sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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
$1,202
HI $2,344NJ $759
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.