How much rates vary
Facilitymedian $1,259 · 10th to 90th $1,023 to $2,188Professionalmedian $1,122 · 10th to 90th $661 to $2,951
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | None | $776.25 | $831.76 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,479.11 | Facility | None | $1,122.02 | $1,258.93 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,122.02 Median $8,709.64 Typical High $9,772.37 | Professional | None | $1,122.02 | $8,709.64 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,344.23 | Facility | None | $1,230.27 | $1,548.82 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,174.90 | $1,584.89 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,096.48 | Professional | None | $891.25 | $977.24 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,023.29 | $1,258.93 | $1,288.25 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,511.89 | Facility | None | $1,122.02 | $1,122.02 | $2,511.89 |
Premera BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,071.52 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,122.02 | $1,380.38 |
United Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $2,089.30 | Facility | None | $676.08 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,258.93 | Professional | None | $645.65 | $645.65 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,949.84 | Professional | None | $794.33 | $912.01 | $1,949.84 |
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 $389.05 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $117.49 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $83.18 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | NR · New when rented | $1,122.02 | $1,122.02 | $1,122.02 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | NR · New when rented | $1,071.52 | $1,071.52 | $1,258.93 |
Where Washington sits
The same service costs 2.3 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· 15th of 51
$1,122
HI $1,514DE $661
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.