How much rates vary
Facilitymedian $4,169 · 10th to 90th $3,388 to $7,244Professionalmedian $3,715 · 10th to 90th $2,188 to $8,511
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,754.23 | $2,754.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,162.28 | $4,168.69 | $4,168.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,715.35 Median $24,547.09 Typical High $29,512.09 | Professional | None | $3,715.35 | $24,547.09 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Facility | None | $2,951.21 | $2,951.21 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Kaiser Permanente Setting Facility Modifier None Typical Low $4,073.80 Median $5,128.61 Typical High $7,762.47 | Facility | None | $4,073.80 | $5,128.61 | $7,762.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $8,317.64 | Professional | None | $3,890.45 | $5,248.07 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $3,630.78 | Professional | None | $2,951.21 | $3,235.94 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $4,786.30 | Facility | None | $3,388.44 | $4,168.69 | $4,786.30 |
Premera BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $8,317.64 | Facility | None | $3,715.35 | $3,715.35 | $8,317.64 |
Premera BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | None | $3,548.13 | $3,548.13 | $4,168.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,467.37 Median $3,715.35 Typical High $4,570.88 | Professional | None | $3,467.37 | $3,715.35 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $6,025.60 Typical High $6,025.60 | Facility | None | $2,951.21 | $6,025.60 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,862.09 | $1,862.09 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $6,456.54 | Professional | None | $2,238.72 | $3,019.95 | $6,456.54 |
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 $1,288.25 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $524.81 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $257.04 | $275.42 | $275.42 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | NR · New when rented | $3,715.35 | $3,715.35 | $3,715.35 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | NR · New when rented | $3,548.13 | $3,548.13 | $4,168.69 |
Where Washington sits
The same service costs 2.5 times more in Montana 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· 10th of 51
$3,715
MT $4,898DC $1,995
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.