How much rates vary
Facilitymedian $724 · 10th to 90th $589 to $1,259Professionalmedian $646 · 10th to 90th $302 to $1,259
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $741.31 | Facility | None | $549.54 | $724.44 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $4,897.79 | Professional | None | $645.65 | $645.65 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Facility | None | $416.87 | $416.87 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Kaiser Permanente Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,348.96 | Facility | None | $707.95 | $891.25 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $616.60 | Professional | None | $512.86 | $562.34 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $741.31 | Facility | None | $588.84 | $724.44 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,445.44 | Facility | None | $645.65 | $645.65 | $1,445.44 |
Premera BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | None | $616.60 | $616.60 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $794.33 | Professional | None | $602.56 | $645.65 | $794.33 |
United Setting Facility Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,047.13 | Facility | None | $467.74 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $616.60 | Professional | None | $316.23 | $316.23 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $1,122.02 | Professional | None | $389.05 | $524.81 | $1,122.02 |
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 $223.87 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $223.87 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $47.86 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | NR · New when rented | $645.65 | $645.65 | $645.65 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | NR · New when rented | $616.60 | $616.60 | $724.44 |
Where Washington sits
The same service costs 3.9 times more in Hawaii than in Delaware. 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· 6th of 51
$646
HI $1,175DE $302
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.