How much rates vary
Facilitymedian $1,202 · 10th to 90th $977 to $2,042Professionalmedian $1,072 · 10th to 90th $676 to $2,692
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | None | $741.31 | $794.33 | $794.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,318.26 | Facility | None | $1,000.00 | $1,202.26 | $1,318.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,071.52 Median $7,762.47 Typical High $11,748.98 | Professional | None | $1,071.52 | $7,762.47 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Facility | None | $933.25 | $933.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $933.25 | Professional | None | $676.08 | $676.08 | $933.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,238.72 | Facility | None | $1,174.90 | $1,479.11 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,513.56 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,047.13 | Professional | None | $851.14 | $933.25 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,230.27 | Facility | None | $977.24 | $1,148.15 | $1,230.27 |
Pacific Source Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Premera BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,071.52 | $2,398.83 |
Premera BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,023.29 | $1,202.26 |
Regence BlueShield 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 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,071.52 | $1,318.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,905.46 Typical High $1,905.46 | Facility | None | $575.44 | $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 $724.44 Median $870.96 Typical High $1,862.09 | Professional | None | $724.44 | $870.96 | $1,862.09 |
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 $371.54 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $79.43 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | NR · New when rented | $1,071.52 | $1,071.52 | $1,071.52 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | NR · New when rented | $1,023.29 | $1,023.29 | $1,202.26 |
Where Washington sits
The same service costs 2.1 times more in Wisconsin 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
$1,072
WI $1,349DC $646
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.