How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,514 to $3,311Professionalmedian $1,660 · 10th to 90th $1,072 to $3,981
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,258.93 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,862.09 | $2,041.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $11,220.18 Typical High $16,595.87 | Professional | None | $1,659.59 | $11,220.18 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $3,467.37 | Facility | None | $1,862.09 | $2,344.23 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,398.83 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,479.11 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,513.56 | $1,737.80 | $1,949.84 |
Pacific Source Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,801.89 | Facility | None | $1,698.24 | $1,698.24 | $3,801.89 |
Premera BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,584.89 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,659.59 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,148.15 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,659.59 | Professional | None | $851.14 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,951.21 | Professional | None | $1,047.13 | $1,380.38 | $2,951.21 |
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 $588.84 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $125.89 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | NR · New when rented | $1,698.24 | $1,698.24 | $1,698.24 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | NR · New when rented | $1,584.89 | $1,584.89 | $1,862.09 |
Where Washington sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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
$1,660
HI $2,570RI $1,023
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.