How much rates vary
Facilitymedian $240 · 10th to 90th $195 to $417Professionalmedian $214 · 10th to 90th $141 to $513
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | None | $147.91 | $158.49 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $257.04 | Facility | None | $194.98 | $234.42 | $257.04 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $1,698.24 Typical High $2,290.87 | Professional | None | $213.80 | $1,698.24 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $213.80 | Facility | None | $194.98 | $194.98 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | None | $141.25 | $141.25 | $194.98 |
Kaiser Permanente Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $436.52 | Facility | None | $234.42 | $295.12 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $501.19 | Professional | None | $223.87 | $302.00 | $501.19 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $204.17 | Professional | None | $169.82 | $186.21 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $245.47 | Facility | None | $194.98 | $239.88 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $478.63 | Facility | None | $213.80 | $213.80 | $478.63 |
Premera BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | None | $204.17 | $204.17 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $263.03 | Professional | None | $199.53 | $213.80 | $263.03 |
United Setting Facility Modifier None Typical Low $158.49 Median $371.54 Typical High $371.54 | Facility | None | $158.49 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None | $112.20 | $112.20 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $371.54 | Professional | None | $138.04 | $173.78 | $371.54 |
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 $74.13 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $22.39 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $14.79 | $15.85 | $15.85 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | NR · New when rented | $213.80 | $213.80 | $213.80 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | NR · New when rented | $204.17 | $204.17 | $234.42 |
Where Washington sits
The same service costs 3.2 times more in Hawaii 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
$214
HI $407DC $129
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.