How much rates vary
Facilitymedian $363 · 10th to 90th $275 to $631Professionalmedian $324 · 10th to 90th $129 to $631
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | None | $229.09 | $239.88 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $363.08 | Facility | None | $251.19 | $331.13 | $363.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $2,187.76 | Professional | None | $323.59 | $323.59 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Kaiser Permanente Setting Facility Modifier None Typical Low $354.81 Median $457.09 Typical High $676.08 | Facility | None | $354.81 | $457.09 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $676.08 | Professional | None | $338.84 | $457.09 | $676.08 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $316.23 | Professional | None | $257.04 | $288.40 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $371.54 | Facility | None | $281.84 | $295.12 | $371.54 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $724.44 | Facility | None | $323.59 | $323.59 | $724.44 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $398.11 | Professional | None | $302.00 | $323.59 | $398.11 |
United Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $457.09 | Facility | None | $229.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $275.42 | Professional | None | $138.04 | $138.04 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $575.44 | Professional | None | $177.83 | $269.15 | $575.44 |
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 $112.20 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $22.91 | $23.99 | $23.99 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | NR · New when rented | $323.59 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | NR · New when rented | $309.03 | $309.03 | $363.08 |
Where Washington sits
The same service costs 4.0 times more in Hawaii 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· 3rd of 51
$324
HI $525FL $132
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.