How much rates vary
Facilitymedian $2,570 · 10th to 90th $2,089 to $4,467Professionalmedian $2,239 · 10th to 90th $1,096 to $5,248
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,584.89 | $1,698.24 | $1,698.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,995.26 | $2,511.89 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $14,791.08 Typical High $20,417.38 | Professional | None | $2,238.72 | $14,791.08 | $20,417.38 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,511.89 | $3,162.28 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,398.83 | $3,235.94 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,778.28 | $1,995.26 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,089.30 | $2,454.71 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,128.61 | Facility | None | $2,290.87 | $2,290.87 | $5,128.61 |
Premera BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Professional | None | $2,187.76 | $2,187.76 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,238.72 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $3,715.35 | Facility | None | $1,513.56 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,148.15 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $3,981.07 | Professional | None | $1,380.38 | $1,862.09 | $3,981.07 |
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 $794.33 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $794.33 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $316.23 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $158.49 | $169.82 | $169.82 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | NR · New when rented | $2,290.87 | $2,290.87 | $2,290.87 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Professional | NR · New when rented | $2,187.76 | $2,187.76 | $2,511.89 |
Where Washington sits
The same service costs 3.2 times more in Hawaii 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· 12th of 51
$2,239
HI $3,388DE $1,047
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.