How much rates vary
Facilitymedian $200 · 10th to 90th $162 to $355Professionalmedian $178 · 10th to 90th $95 to $447
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | None | $125.89 | $134.90 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $229.09 | Facility | None | $169.82 | $199.53 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $177.83 Median $1,258.93 Typical High $1,949.84 | Professional | None | $177.83 | $1,258.93 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None | $93.33 | $93.33 | $125.89 |
Kaiser Permanente Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $371.54 | Facility | None | $199.53 | $251.19 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $426.58 | Professional | None | $190.55 | $257.04 | $426.58 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None | $141.25 | $158.49 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $204.17 | Facility | None | $162.18 | $194.98 | $204.17 |
Pacific Source Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $398.11 | Facility | None | $181.97 | $181.97 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | None | $169.82 | $169.82 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $218.78 | Professional | None | $169.82 | $177.83 | $218.78 |
United Setting Facility Modifier None Typical Low $120.23 Median $316.23 Typical High $316.23 | Facility | None | $120.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | None | $95.50 | $95.50 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $316.23 | Professional | None | $117.49 | $147.91 | $316.23 |
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 $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $18.62 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $12.59 | $13.49 | $13.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | NR · New when rented | $181.97 | $181.97 | $181.97 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | NR · New when rented | $169.82 | $169.82 | $199.53 |
Where Washington sits
The same service costs 2.9 times more in Hawaii than in Florida. 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· 13th of 51
$182
HI $269FL $93.33
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.