How much rates vary
Facilitymedian $3,715 · 10th to 90th $3,311 to $6,607Professionalmedian $3,311 · 10th to 90th $1,862 to $8,913
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,344.23 | $2,511.89 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,019.95 | $3,715.35 | $3,981.07 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,311.31 Median $19,952.62 Typical High $29,512.09 | Professional | None | $3,311.31 | $19,952.62 | $29,512.09 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
Kaiser Permanente Setting Facility Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $6,918.31 | Facility | None | $3,715.35 | $4,677.35 | $6,918.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $7,762.47 | Professional | None | $3,548.13 | $4,786.30 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,630.27 | $2,951.21 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $3,715.35 Median $3,801.89 Typical High $3,890.45 | Facility | None | $3,715.35 | $3,801.89 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $7,413.10 | Facility | None | $3,388.44 | $3,388.44 | $7,413.10 |
Premera BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,715.35 | Professional | None | $3,162.28 | $3,162.28 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $4,073.80 | Professional | None | $3,090.30 | $3,311.31 | $4,073.80 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,737.80 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $5,888.44 | Professional | None | $2,137.96 | $2,754.23 | $5,888.44 |
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 $346.74 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $234.42 | $251.19 | $251.19 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | NR · New when rented | $3,388.44 | $3,388.44 | $3,388.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,162.28 Median $3,162.28 Typical High $3,715.35 | Professional | NR · New when rented | $3,162.28 | $3,162.28 | $3,715.35 |
Where Washington sits
The same service costs 2.2 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
$3,388
HI $4,169DE $1,862
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.