How much rates vary
Facilitymedian $224 · 10th to 90th $182 to $389Professionalmedian $200 · 10th to 90th $132 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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $257.04 | Facility | None | $190.55 | $223.87 | $257.04 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $199.53 Median $1,737.80 Typical High $2,290.87 | Professional | None | $199.53 | $1,737.80 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $194.98 | Facility | None | $181.97 | $181.97 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | None | $131.83 | $131.83 | $181.97 |
Kaiser Permanente Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $416.87 | Facility | None | $218.78 | $281.84 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $501.19 | Professional | None | $208.93 | $281.84 | $501.19 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $177.83 Typical High $194.98 | Professional | None | $158.49 | $177.83 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $229.09 | Facility | None | $181.97 | $223.87 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $446.68 | Facility | None | $199.53 | $199.53 | $446.68 |
Premera BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $245.47 | Professional | None | $186.21 | $199.53 | $245.47 |
United Setting Facility Modifier None Typical Low $173.78 Median $363.08 Typical High $363.08 | Facility | None | $173.78 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None | $109.65 | $109.65 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $354.81 | Professional | None | $134.90 | $165.96 | $354.81 |
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 $69.18 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.13 | $14.79 | $14.79 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | NR · New when rented | $199.53 | $199.53 | $199.53 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | NR · New when rented | $190.55 | $190.55 | $223.87 |
Where Washington sits
The same service costs 3.5 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· 12th of 51
$200
HI $427DC $120
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.