How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,622 to $3,162Professionalmedian $1,585 · 10th to 90th $1,023 to $4,266
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,137.96 | Facility | None | $1,621.81 | $1,778.28 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,584.89 Median $14,454.40 Typical High $17,378.01 | Professional | None | $1,584.89 | $14,454.40 | $17,378.01 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,778.28 | $2,238.72 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,290.87 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,412.54 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,659.59 | $1,819.70 | $2,454.71 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $3,630.78 | Facility | None | $1,621.81 | $1,621.81 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,513.56 | $1,513.56 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,584.89 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $3,019.95 | Facility | None | $1,318.26 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,778.28 | Professional | None | $912.01 | $912.01 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,318.26 | $2,818.38 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | NR · New when rented | $1,621.81 | $1,621.81 | $1,621.81 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | NR · New when rented | $1,513.56 | $1,513.56 | $1,778.28 |
Where Washington sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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
$1,622
HI $3,548DC $977
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.