How much rates vary
Facilitymedian $676 · 10th to 90th $550 to $1,175Professionalmedian $603 · 10th to 90th $324 to $1,585
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $758.58 | Facility | None | $562.34 | $676.08 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $602.56 Median $4,677.35 Typical High $5,370.32 | Professional | None | $602.56 | $4,677.35 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Facility | None | $436.52 | $436.52 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Kaiser Permanente Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $1,258.93 | Facility | None | $660.69 | $831.76 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,548.82 | Professional | None | $630.96 | $851.14 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $588.84 | Professional | None | $478.63 | $524.81 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $891.25 | Facility | None | $549.54 | $676.08 | $891.25 |
Pacific Source Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,348.96 | Facility | None | $602.56 | $602.56 | $1,348.96 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | None | $575.44 | $575.44 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $741.31 | Professional | None | $575.44 | $602.56 | $741.31 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,122.02 Typical High $1,122.02 | Facility | None | $346.74 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | None | $346.74 | $346.74 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $1,047.13 | Professional | None | $436.52 | $489.78 | $1,047.13 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | NR · New when rented | $602.56 | $602.56 | $602.56 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | NR · New when rented | $575.44 | $575.44 | $676.08 |
Where Washington sits
The same service costs 2.8 times more in Montana 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· 12th of 51
$603
MT $891FL $316
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.