How much rates vary
Facilitymedian $832 · 10th to 90th $759 to $1,479Professionalmedian $741 · 10th to 90th $389 to $2,138
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | None | $524.81 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $912.01 | Facility | None | $691.83 | $831.76 | $912.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $741.31 Median $4,570.88 Typical High $6,165.95 | Professional | None | $741.31 | $4,570.88 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Kaiser Permanente Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,548.82 | Facility | None | $831.76 | $1,047.13 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,778.28 | Professional | None | $794.33 | $1,071.52 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $724.44 | Professional | None | $588.84 | $660.69 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $912.01 | Facility | None | $831.76 | $851.14 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,698.24 | Facility | None | $758.58 | $758.58 | $1,698.24 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | None | $707.95 | $707.95 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $912.01 | Professional | None | $707.95 | $741.31 | $912.01 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $776.25 | Professional | None | $398.11 | $398.11 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,318.26 | Professional | None | $524.81 | $616.60 | $1,318.26 |
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 $77.62 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $77.62 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $56.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | NR · New when rented | $758.58 | $758.58 | $758.58 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | NR · New when rented | $707.95 | $707.95 | $831.76 |
Where Washington sits
The same service costs 3.2 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
$759
HI $1,259DE $389
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.