How much rates vary
Facilitymedian $3,631 · 10th to 90th $3,236 to $6,310Professionalmedian $3,236 · 10th to 90th $1,778 to $8,710
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,238.72 | $2,398.83 | $2,398.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $3,890.45 | Facility | None | $2,884.03 | $3,630.78 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,235.94 Median $19,498.45 Typical High $28,183.83 | Professional | None | $3,235.94 | $19,498.45 | $28,183.83 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,754.23 | Facility | None | $2,454.71 | $2,454.71 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3,548.13 Median $4,466.84 Typical High $6,760.83 | Facility | None | $3,548.13 | $4,466.84 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $7,585.78 | Professional | None | $3,388.44 | $4,570.88 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $2,570.40 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,570.40 | $2,818.38 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,715.35 | $3,801.89 |
Premera BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $7,244.36 | Facility | None | $3,235.94 | $3,235.94 | $7,244.36 |
Premera BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,235.94 | $3,981.07 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,698.24 | $1,698.24 | $3,311.31 |
Wellpoint Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $5,623.41 | Professional | None | $2,089.30 | $2,630.27 | $5,623.41 |
4 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 55 · Aftercare only Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $338.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $223.87 | $239.88 | $239.88 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | NR · New when rented | $3,235.94 | $3,235.94 | $3,235.94 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | NR · New when rented | $3,090.30 | $3,090.30 | $3,630.78 |
Where Washington sits
The same service costs 2.3 times more in Montana 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· 12th of 51
$3,236
MT $4,074DE $1,778
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.