How much rates vary
Facilitymedian $234 · 10th to 90th $191 to $407Professionalmedian $209 · 10th to 90th $117 to $513
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | None | $144.54 | $154.88 | $154.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $251.19 | Facility | None | $190.55 | $234.42 | $251.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $208.93 Median $1,513.56 Typical High $1,698.24 | Professional | None | $208.93 | $1,513.56 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Kaiser Permanente Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $436.52 | Facility | None | $229.09 | $288.40 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $501.19 | Professional | None | $218.78 | $295.12 | $501.19 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $204.17 | Professional | None | $165.96 | $186.21 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $257.04 | Facility | None | $190.55 | $234.42 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $467.74 | Facility | None | $208.93 | $208.93 | $467.74 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $257.04 | Professional | None | $194.98 | $208.93 | $257.04 |
United Setting Facility Modifier None Typical Low $131.83 Median $363.08 Typical High $363.08 | Facility | None | $131.83 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | None | $112.20 | $112.20 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $371.54 | Professional | None | $138.04 | $169.82 | $371.54 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $21.88 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $15.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | NR · New when rented | $208.93 | $208.93 | $208.93 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | NR · New when rented | $199.53 | $199.53 | $234.42 |
Where Washington sits
The same service costs 2.4 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· 13th of 51
$209
HI $282NJ $117
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.