How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,349 to $2,951Professionalmedian $1,479 · 10th to 90th $977 to $3,802
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,096.48 | $1,122.02 | $1,122.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,862.09 | Facility | None | $1,412.54 | $1,659.59 | $1,862.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,479.11 Median $11,220.18 Typical High $12,589.25 | Professional | None | $1,479.11 | $11,220.18 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,659.59 | $2,089.30 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,137.96 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,318.26 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,348.96 | $1,659.59 | $2,187.76 |
Pacific Source Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,388.44 | Facility | None | $1,513.56 | $1,513.56 | $3,388.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,479.11 | $1,819.70 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,691.53 Typical High $2,691.53 | Facility | None | $831.76 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,621.81 | Professional | None | $831.76 | $831.76 | $1,621.81 |
Wellpoint Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,630.27 | Professional | None | $1,000.00 | $1,230.27 | $2,630.27 |
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 $549.54 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $112.20 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | NR · New when rented | $1,513.56 | $1,513.56 | $1,513.56 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | NR · New when rented | $1,412.54 | $1,412.54 | $1,659.59 |
Where Washington sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 13th of 51
$1,514
MT $2,239PA $891
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.