How much rates vary
Facilitymedian $891 · 10th to 90th $724 to $1,549Professionalmedian $794 · 10th to 90th $490 to $1,778
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $891.25 | Facility | None | $660.69 | $870.96 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $794.33 Median $5,623.41 Typical High $5,754.40 | Professional | None | $794.33 | $5,623.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Facility | None | $660.69 | $660.69 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
Kaiser Permanente Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,659.59 | Facility | None | $870.96 | $1,122.02 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,698.24 | Professional | None | $851.14 | $1,148.15 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $776.25 | Professional | None | $630.96 | $707.95 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,023.29 | Facility | None | $724.44 | $891.25 | $1,023.29 |
Pacific Source Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,778.28 | Facility | None | $812.83 | $812.83 | $1,778.28 |
Premera BCBS Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | None | $758.58 | $758.58 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $977.24 | Professional | None | $741.31 | $794.33 | $977.24 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $1,230.27 | Facility | None | $549.54 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $741.31 | Professional | None | $380.19 | $380.19 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,412.54 | Professional | None | $478.63 | $660.69 | $1,412.54 |
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 $281.84 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $281.84 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $56.23 | $60.26 | $60.26 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | NR · New when rented | $812.83 | $812.83 | $812.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | NR · New when rented | $758.58 | $758.58 | $891.25 |
Where Washington sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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
$794
HI $1,380KS $339
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.