How much rates vary
Facilitymedian $692 · 10th to 90th $617 to $1,230Professionalmedian $617 · 10th to 90th $407 to $1,778
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | None | $436.52 | $467.74 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $758.58 | Facility | None | $575.44 | $691.83 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $3,890.45 Typical High $5,128.61 | Professional | None | $616.60 | $3,890.45 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Facility | None | $562.34 | $562.34 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Facility Modifier None Typical Low $691.83 Median $870.96 Typical High $1,288.25 | Facility | None | $691.83 | $870.96 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,479.11 | Professional | None | $660.69 | $891.25 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $602.56 | Professional | None | $489.78 | $549.54 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $724.44 Typical High $758.58 | Facility | None | $691.83 | $724.44 | $758.58 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,412.54 | Facility | None | $630.96 | $630.96 | $1,412.54 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | None | $588.84 | $588.84 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $758.58 | Professional | None | $588.84 | $616.60 | $758.58 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $645.65 | Professional | None | $331.13 | $331.13 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $1,096.48 | Professional | None | $436.52 | $512.86 | $1,096.48 |
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 $66.07 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $46.77 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | NR · New when rented | $630.96 | $630.96 | $630.96 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | NR · New when rented | $588.84 | $588.84 | $691.83 |
Where Washington sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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
$631
HI $1,047NJ $407
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.