How much rates vary
Facilitymedian $537 · 10th to 90th $437 to $933Professionalmedian $479 · 10th to 90th $263 to $1,148
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | None | $331.13 | $354.81 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $575.44 | Facility | None | $426.58 | $524.81 | $575.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $2,884.03 Typical High $4,168.69 | Professional | None | $478.63 | $2,884.03 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Kaiser Permanente Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $977.24 | Facility | None | $524.81 | $660.69 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,122.02 | Professional | None | $501.19 | $676.08 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | None | $380.19 | $416.87 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $549.54 | Facility | None | $436.52 | $537.03 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,071.52 | Facility | None | $478.63 | $478.63 | $1,071.52 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $489.78 | Professional | None | $251.19 | $251.19 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $831.76 | Professional | None | $302.00 | $389.05 | $831.76 |
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 $165.96 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $35.48 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | NR · New when rented | $478.63 | $478.63 | $478.63 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | NR · New when rented | $457.09 | $457.09 | $524.81 |
Where Washington sits
The same service costs 2.2 times more in Montana 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
$479
MT $575DE $263
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.