How much rates vary
Facilitymedian $1,230 · 10th to 90th $1,096 to $2,188Professionalmedian $1,096 · 10th to 90th $550 to $2,818
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,318.26 | Facility | None | $977.24 | $1,230.27 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,096.48 Median $6,606.93 Typical High $9,772.37 | Professional | None | $1,096.48 | $6,606.93 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Facility | None | $724.44 | $724.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,202.26 | $1,548.82 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,584.89 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,071.52 | Professional | None | $870.96 | $977.24 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,258.93 | $1,318.26 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,454.71 | Facility | None | $1,122.02 | $1,122.02 | $2,454.71 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,047.13 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,096.48 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,122.02 | Professional | None | $575.44 | $575.44 | $1,122.02 |
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 |
4 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 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $123.03 |
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 $1,047.13 Median $1,047.13 Typical High $1,230.27 | Professional | NR · New when rented | $1,047.13 | $1,047.13 | $1,230.27 |
Where Washington sits
The same service costs 2.4 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· 11th of 51
$1,122
HI $1,349DE $562
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.