How much rates vary
Facilitymedian $3,802 · 10th to 90th $3,090 to $6,607Professionalmedian $3,388 · 10th to 90th $1,820 to $7,413
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,344.23 | $2,511.89 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $3,801.89 | Facility | None | $2,754.23 | $3,630.78 | $3,801.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,388.44 Median $19,498.45 Typical High $26,302.68 | Professional | None | $3,388.44 | $19,498.45 | $26,302.68 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $7,079.46 | Facility | None | $3,715.35 | $4,677.35 | $7,079.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,079.46 | Professional | None | $3,548.13 | $4,786.30 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,691.53 | $2,951.21 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $3,890.45 | Facility | None | $3,090.30 | $3,801.89 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $7,585.78 | Facility | None | $3,388.44 | $3,388.44 | $7,585.78 |
Premera BCBS Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,801.89 | Professional | None | $3,235.94 | $3,235.94 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $4,168.69 | Professional | None | $3,162.28 | $3,388.44 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $5,128.61 Typical High $5,128.61 | Facility | None | $1,949.84 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,584.89 | $1,584.89 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $5,888.44 | Professional | None | $1,949.84 | $2,754.23 | $5,888.44 |
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 $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,174.90 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $478.63 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $234.42 | $251.19 | $251.19 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | NR · New when rented | $3,388.44 | $3,388.44 | $3,388.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,235.94 Median $3,235.94 Typical High $3,801.89 | Professional | NR · New when rented | $3,235.94 | $3,235.94 | $3,801.89 |
Where Washington sits
The same service costs 2.4 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· 6th of 51
$3,388
HI $4,365DE $1,820
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.