How much rates vary
Facilitymedian $2,754 · 10th to 90th $2,239 to $4,786Professionalmedian $2,455 · 10th to 90th $1,445 to $5,495
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,698.24 | $1,819.70 | $1,819.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $2,754.23 | Facility | None | $1,995.26 | $2,630.27 | $2,754.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,454.71 Median $15,135.61 Typical High $23,442.29 | Professional | None | $2,454.71 | $15,135.61 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,187.76 | Facility | None | $1,949.84 | $1,949.84 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,445.44 | $1,949.84 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $5,011.87 | Facility | None | $2,691.53 | $3,388.44 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,467.37 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,949.84 | $2,137.96 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $2,818.38 | Facility | None | $2,238.72 | $2,754.23 | $2,818.38 |
Premera BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $5,495.41 | Facility | None | $2,454.71 | $2,454.71 | $5,495.41 |
Premera BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,344.23 | $2,691.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,454.71 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,801.89 Typical High $3,801.89 | Facility | None | $1,258.93 | $3,801.89 | $3,801.89 |
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 $1,445.44 Median $1,995.26 Typical High $4,265.80 | Professional | None | $1,445.44 | $1,995.26 | $4,265.80 |
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 $851.14 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $851.14 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $338.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $257.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $169.82 | $181.97 | $181.97 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | NR · New when rented | $2,454.71 | $2,454.71 | $2,454.71 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,344.23 Median $2,344.23 Typical High $2,691.53 | Professional | NR · New when rented | $2,344.23 | $2,344.23 | $2,691.53 |
Where Washington sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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
$2,455
MN $2,951DC $1,230
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.