How much rates vary
Facilitymedian $4,677 · 10th to 90th $3,802 to $8,318Professionalmedian $4,169 · 10th to 90th $2,455 to $9,550
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,951.21 | $3,162.28 | $3,162.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $4,677.35 | Facility | None | $3,467.37 | $4,677.35 | $4,677.35 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,168.69 Median $24,547.09 Typical High $32,359.37 | Professional | None | $4,168.69 | $24,547.09 | $32,359.37 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,715.35 | Facility | None | $3,388.44 | $3,388.44 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $8,709.64 | Facility | None | $4,677.35 | $5,888.44 | $8,709.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,466.84 Median $6,025.60 Typical High $9,120.11 | Professional | None | $4,466.84 | $6,025.60 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,311.31 | $3,715.35 | $4,073.80 |
Pacific Source Setting Facility Modifier None Typical Low $3,801.89 Median $4,677.35 Typical High $4,897.79 | Facility | None | $3,801.89 | $4,677.35 | $4,897.79 |
Pacific Source Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Premera BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $9,549.93 | Facility | None | $4,265.80 | $4,265.80 | $9,549.93 |
Premera BCBS Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,677.35 | Professional | None | $3,981.07 | $3,981.07 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $5,248.07 | Professional | None | $3,981.07 | $4,168.69 | $5,248.07 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Facility | None | $5,495.41 | $6,606.93 | $6,606.93 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,041.74 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $7,413.10 | Professional | None | $2,570.40 | $3,467.37 | $7,413.10 |
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 $1,479.11 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,479.11 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $588.84 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $446.68 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $295.12 | $316.23 | $316.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | NR · New when rented | $4,265.80 | $4,265.80 | $4,265.80 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,981.07 Median $3,981.07 Typical High $4,677.35 | Professional | NR · New when rented | $3,981.07 | $3,981.07 | $4,677.35 |
Where Washington sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 10th of 51
$4,169
MT $4,898SC $2,344
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.