How much rates vary
Facilitymedian $282 · 10th to 90th $229 to $490Professionalmedian $245 · 10th to 90th $132 to $631
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | None | $173.78 | $186.21 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $331.13 | Facility | None | $251.19 | $281.84 | $331.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,862.09 Typical High $2,691.53 | Professional | None | $245.47 | $1,862.09 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Kaiser Permanente Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $512.86 | Facility | None | $275.42 | $346.74 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $616.60 | Professional | None | $263.03 | $354.81 | $616.60 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $239.88 | Professional | None | $194.98 | $218.78 | $239.88 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $295.12 | Facility | None | $229.09 | $281.84 | $295.12 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | None | $234.42 | $234.42 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | None | $234.42 | $245.47 | $309.03 |
United Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $457.09 | Facility | None | $208.93 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $269.15 | Professional | None | $138.04 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $436.52 | Professional | None | $173.78 | $204.17 | $436.52 |
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 $87.10 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $87.10 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $34.67 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $26.30 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $17.38 | $18.62 | $18.62 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | NR · New when rented | $251.19 | $251.19 | $251.19 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | NR · New when rented | $234.42 | $234.42 | $275.42 |
Where Washington sits
The same service costs 3.5 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· 13th of 51
$251
HI $447DE $129
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.