How much rates vary
Facilitymedian $417 · 10th to 90th $339 to $724Professionalmedian $372 · 10th to 90th $178 to $724
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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | None | $257.04 | $275.42 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $416.87 | Facility | None | $302.00 | $407.38 | $416.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $2,691.53 | Professional | None | $371.54 | $371.54 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $269.15 | Facility | None | $245.47 | $245.47 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Kaiser Permanente Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $758.58 | Facility | None | $407.38 | $512.86 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $794.33 | Professional | None | $389.05 | $524.81 | $794.33 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $354.81 | Professional | None | $295.12 | $323.59 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $426.58 | Facility | None | $338.84 | $346.74 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $831.76 | Facility | None | $371.54 | $371.54 | $831.76 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | None | $354.81 | $354.81 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $457.09 | Professional | None | $346.74 | $371.54 | $457.09 |
United Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $575.44 | Facility | None | $281.84 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | None | $173.78 | $173.78 | $338.84 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $645.65 | Professional | None | $218.78 | $302.00 | $645.65 |
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 $128.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $27.54 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | NR · New when rented | $371.54 | $371.54 | $371.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | NR · New when rented | $354.81 | $354.81 | $407.38 |
Where Washington sits
The same service costs 3.6 times more in Hawaii than in Tennessee. 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· 6th of 51
$372
HI $646TN $178
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.