How much rates vary
Facilitymedian $58 · 10th to 90th $47 to $100Professionalmedian $51 · 10th to 90th $26 to $126
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | None | $36.31 | $38.90 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $61.66 | Facility | None | $45.71 | $57.54 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $51.29 Median $371.54 Typical High $489.78 | Professional | None | $51.29 | $371.54 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.02 | Facility | None | $34.67 | $34.67 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | None | $25.12 | $25.12 | $34.67 |
Kaiser Permanente Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $107.15 | Facility | None | $56.23 | $72.44 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $123.03 | Professional | None | $53.70 | $72.44 | $123.03 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $50.12 | Professional | None | $40.74 | $45.71 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $58.88 | Facility | None | $46.77 | $54.95 | $58.88 |
Pacific Source Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $114.82 | Facility | None | $51.29 | $51.29 | $114.82 |
Premera BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $63.10 | Professional | None | $47.86 | $51.29 | $63.10 |
United Setting Facility Modifier None Typical Low $29.51 Median $91.20 Typical High $91.20 | Facility | None | $29.51 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $53.70 | Professional | None | $27.54 | $27.54 | $53.70 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $91.20 | Professional | None | $34.67 | $42.66 | $91.20 |
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 $18.20 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.37 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.63 | $3.89 | $3.89 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | NR · New when rented | $51.29 | $51.29 | $51.29 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | NR · New when rented | $48.98 | $48.98 | $57.54 |
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· 12th of 51
$51.29
HI $64.57DE $25.70
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.