How much rates vary
Facilitymedian $537 · 10th to 90th $437 to $933Professionalmedian $479 · 10th to 90th $269 to $1,148
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | None | $338.84 | $363.08 | $363.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $575.44 | Facility | None | $426.58 | $537.03 | $575.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $3,162.28 Typical High $4,897.79 | Professional | None | $478.63 | $3,162.28 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Facility | None | $363.08 | $363.08 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
Kaiser Permanente Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $1,000.00 | Facility | None | $537.03 | $676.08 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $1,071.52 | Professional | None | $512.86 | $691.83 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $467.74 | Professional | None | $380.19 | $426.58 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $549.54 | Facility | None | $436.52 | $501.19 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,071.52 | Facility | None | $489.78 | $489.78 | $1,071.52 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | None | $457.09 | $457.09 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $588.84 | Professional | None | $446.68 | $478.63 | $588.84 |
United Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $794.33 | Facility | None | $323.59 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Professional | None | $239.88 | $239.88 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $851.14 | Professional | None | $295.12 | $398.11 | $851.14 |
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 $169.82 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $169.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $36.31 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | NR · New when rented | $489.78 | $489.78 | $489.78 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | NR · New when rented | $457.09 | $457.09 | $537.03 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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· 8th of 51
$479
HI $708AL $269
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.