How much rates vary
Facilitymedian $513 · 10th to 90th $417 to $891Professionalmedian $457 · 10th to 90th $229 to $1,047
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | None | $316.23 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $512.86 | Facility | None | $371.54 | $501.19 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $457.09 Median $2,630.27 Typical High $3,388.44 | Professional | None | $457.09 | $2,630.27 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $933.25 | Facility | None | $501.19 | $630.96 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,000.00 | Professional | None | $478.63 | $645.65 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $436.52 | Professional | None | $363.08 | $398.11 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $524.81 | Facility | None | $416.87 | $436.52 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,023.29 | Facility | None | $457.09 | $457.09 | $1,023.29 |
Premera BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | None | $436.52 | $436.52 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $562.34 | Professional | None | $426.58 | $457.09 | $562.34 |
United Setting Facility Modifier None Typical Low $257.04 Median $724.44 Typical High $724.44 | Facility | None | $257.04 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | None | $218.78 | $218.78 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $794.33 | Professional | None | $269.15 | $371.54 | $794.33 |
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 $158.49 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $158.49 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $31.62 | $33.88 | $33.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | NR · New when rented | $457.09 | $457.09 | $457.09 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | NR · New when rented | $436.52 | $436.52 | $501.19 |
Where Washington sits
The same service costs 2.5 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· 7th of 51
$457
HI $562DE $229
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.