How much rates vary
Facilitymedian $224 · 10th to 90th $182 to $389Professionalmedian $195 · 10th to 90th $120 to $490
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 $138.04 Median $147.91 Typical High $147.91 | Professional | None | $138.04 | $147.91 | $147.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $245.47 | Facility | None | $181.97 | $218.78 | $245.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $194.98 Median $1,380.38 Typical High $1,862.09 | Professional | None | $194.98 | $1,380.38 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Kaiser Permanente Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $407.38 | Facility | None | $218.78 | $275.42 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $281.84 Typical High $467.74 | Professional | None | $208.93 | $281.84 | $467.74 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $190.55 | Professional | None | $154.88 | $173.78 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $245.47 | Facility | None | $181.97 | $223.87 | $245.47 |
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 $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
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 $194.98 Typical High $245.47 | Professional | None | $186.21 | $194.98 | $245.47 |
United Setting Facility Modifier None Typical Low $141.25 Median $346.74 Typical High $346.74 | Facility | None | $141.25 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | None | $104.71 | $104.71 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $346.74 | Professional | None | $131.83 | $162.18 | $346.74 |
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 $27.54 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $13.80 | $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 $186.21 Median $186.21 Typical High $218.78 | Professional | NR · New when rented | $186.21 | $186.21 | $218.78 |
Where Washington sits
The same service costs 2.8 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· 11th of 51
$200
HI $331DE $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.