How much rates vary
Facilitymedian $9,772 · 10th to 90th $8,710 to $16,982Professionalmedian $8,710 · 10th to 90th $4,898 to $23,442
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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,165.95 | $6,456.54 | $6,456.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7,762.47 Median $9,772.37 Typical High $10,471.29 | Facility | None | $7,762.47 | $9,772.37 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8,709.64 Median $52,480.75 Typical High $77,624.71 | Professional | None | $8,709.64 | $52,480.75 | $77,624.71 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Facility | None | $6,606.93 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Kaiser Permanente Setting Facility Modifier None Typical Low $9,549.93 Median $12,302.69 Typical High $18,197.01 | Facility | None | $9,549.93 | $12,302.69 | $18,197.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $20,417.38 | Professional | None | $9,120.11 | $12,302.69 | $20,417.38 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $7,762.47 Typical High $8,511.38 | Professional | None | $5,011.87 | $7,762.47 | $8,511.38 |
Pacific Source Setting Facility Modifier None Typical Low $9,772.37 Median $10,000.00 Typical High $10,232.93 | Facility | None | $9,772.37 | $10,000.00 | $10,232.93 |
Premera BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $19,498.45 | Facility | None | $8,709.64 | $8,709.64 | $19,498.45 |
Premera BCBS Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $9,772.37 | Professional | None | $8,317.64 | $8,317.64 | $9,772.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Facility | None | $9,772.37 | $9,772.37 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $8,128.31 Median $8,709.64 Typical High $10,715.19 | Professional | None | $8,128.31 | $8,709.64 | $10,715.19 |
United Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Facility | None | $15,135.61 | $15,135.61 | $15,135.61 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $8,912.51 | Professional | None | $4,570.88 | $4,570.88 | $8,912.51 |
Wellpoint Setting Professional Modifier None Typical Low $5,623.41 Median $7,244.36 Typical High $15,488.17 | Professional | None | $5,623.41 | $7,244.36 | $15,488.17 |
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 $912.01 Median $977.24 Typical High $977.24 | Professional | 55 · Aftercare only | $912.01 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | 56 · Pre-op care only | $616.60 | $645.65 | $645.65 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | NR · New when rented | $8,709.64 | $8,709.64 | $8,709.64 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $8,317.64 Median $8,317.64 Typical High $9,772.37 | Professional | NR · New when rented | $8,317.64 | $8,317.64 | $9,772.37 |
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· 12th of 51
$8,710
HI $11,220DE $4,898
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.