How much rates vary
Facilitymedian $468 · 10th to 90th $380 to $813Professionalmedian $417 · 10th to 90th $200 to $955
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | None | $288.40 | $309.03 | $309.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $489.78 | Facility | None | $363.08 | $457.09 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $416.87 Median $2,691.53 Typical High $3,388.44 | Professional | None | $416.87 | $2,691.53 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Kaiser Permanente Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $851.14 | Facility | None | $457.09 | $575.44 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $933.25 | Professional | None | $436.52 | $588.84 | $933.25 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $398.11 | Professional | None | $331.13 | $363.08 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $478.63 | Facility | None | $380.19 | $467.74 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $933.25 | Facility | None | $416.87 | $416.87 | $933.25 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $457.09 | Professional | None | $398.11 | $398.11 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $512.86 | Professional | None | $389.05 | $416.87 | $512.86 |
United Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $676.08 | Facility | None | $275.42 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $407.38 | Professional | None | $208.93 | $208.93 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $724.44 | Professional | None | $257.04 | $338.84 | $724.44 |
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 $144.54 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $30.90 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | NR · New when rented | $416.87 | $416.87 | $416.87 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $398.11 Median $398.11 Typical High $457.09 | Professional | NR · New when rented | $398.11 | $398.11 | $457.09 |
Where Washington sits
The same service costs 2.9 times more in Hawaii 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· 8th of 51
$417
HI $617FL $214
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.