How much rates vary
Facilitymedian $151 · 10th to 90th $123 to $257Professionalmedian $132 · 10th to 90th $72 to $347
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $165.96 | Facility | None | $125.89 | $151.36 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $131.83 Median $1,047.13 Typical High $1,230.27 | Professional | None | $131.83 | $1,047.13 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Kaiser Permanente Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $275.42 | Facility | None | $147.91 | $186.21 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $346.74 | Professional | None | $141.25 | $190.55 | $346.74 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | None | $107.15 | $117.49 | $128.82 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $199.53 | Facility | None | $123.03 | $151.36 | $199.53 |
Pacific Source Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $302.00 | Facility | None | $134.90 | $134.90 | $302.00 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | None | $128.82 | $128.82 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $165.96 | Professional | None | $125.89 | $131.83 | $165.96 |
United Setting Facility Modifier None Typical Low $75.86 Median $251.19 Typical High $251.19 | Facility | None | $75.86 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $151.36 | Professional | None | $75.86 | $75.86 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $234.42 | Professional | None | $95.50 | $109.65 | $234.42 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | NR · New when rented | $134.90 | $134.90 | $134.90 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | NR · New when rented | $128.82 | $128.82 | $147.91 |
Where Washington sits
The same service costs 2.9 times more in Montana than in Florida. 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
$135
MT $209FL $72.44
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.