How much rates vary
Facilitymedian $91 · 10th to 90th $74 to $155Professionalmedian $81 · 10th to 90th $37 to $191
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | None | $56.23 | $60.26 | $60.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $91.20 | Facility | None | $66.07 | $89.13 | $91.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $501.19 Typical High $691.83 | Professional | None | $81.28 | $501.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $56.23 | Facility | None | $50.12 | $50.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | None | $37.15 | $37.15 | $50.12 |
Kaiser Permanente Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $169.82 | Facility | None | $89.13 | $112.20 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | None | $85.11 | $114.82 | $173.78 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | None | $64.57 | $72.44 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $93.33 | Facility | None | $74.13 | $91.20 | $93.33 |
Pacific Source Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $181.97 | Facility | None | $81.28 | $81.28 | $181.97 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $100.00 | Professional | None | $75.86 | $81.28 | $100.00 |
United Setting Facility Modifier None Typical Low $38.90 Median $125.89 Typical High $125.89 | Facility | None | $38.90 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | None | $38.90 | $38.90 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $144.54 | Professional | None | $52.48 | $66.07 | $144.54 |
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 $28.18 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $28.18 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $8.51 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.75 | $6.03 | $6.03 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | NR · New when rented | $81.28 | $81.28 | $81.28 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | NR · New when rented | $77.62 | $77.62 | $91.20 |
Where Washington sits
The same service costs 2.1 times more in Arkansas than in Colorado. 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· 4th of 51
$81.28
AR $85.11CO $39.81
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.