How much rates vary
Facilitymedian $13,183 · 10th to 90th $10,965 to $22,909Professionalmedian $11,749 · 10th to 90th $6,607 to $31,623
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $8,128.31 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,128.31 | $8,709.64 | $8,709.64 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $13,803.84 | Facility | None | $10,232.93 | $12,882.50 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11,748.98 Median $83,176.38 Typical High $95,499.26 | Professional | None | $11,748.98 | $83,176.38 | $95,499.26 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,772.37 | Facility | None | $9,120.11 | $9,120.11 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,120.11 | Professional | None | $6,606.93 | $6,606.93 | $9,120.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $12,882.50 Median $16,218.10 Typical High $24,547.09 | Facility | None | $12,882.50 | $16,218.10 | $24,547.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,302.69 Median $16,595.87 Typical High $27,542.29 | Professional | None | $12,302.69 | $16,595.87 | $27,542.29 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $10,232.93 Typical High $11,220.18 | Professional | None | $5,011.87 | $10,232.93 | $11,220.18 |
Pacific Source Setting Facility Modifier None Typical Low $13,182.57 Median $13,489.63 Typical High $16,218.10 | Facility | None | $13,182.57 | $13,489.63 | $16,218.10 |
Premera BCBS Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $26,302.68 | Facility | None | $11,748.98 | $11,748.98 | $26,302.68 |
Premera BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $13,182.57 | Professional | None | $11,220.18 | $11,220.18 | $13,182.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $10,964.78 Median $11,748.98 Typical High $14,454.40 | Professional | None | $10,964.78 | $11,748.98 | $14,454.40 |
United Setting Facility Modifier None Typical Low $6,165.95 Median $19,952.62 Typical High $19,952.62 | Facility | None | $6,165.95 | $19,952.62 | $19,952.62 |
United Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $12,022.64 | Professional | None | $6,165.95 | $6,165.95 | $12,022.64 |
Wellpoint Setting Professional Modifier None Typical Low $7,413.10 Median $9,549.93 Typical High $20,417.38 | Professional | None | $7,413.10 | $9,549.93 | $20,417.38 |
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 $4,073.80 Median $4,365.16 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,073.80 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,621.81 Median $1,737.80 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,621.81 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,230.27 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $812.83 Median $870.96 Typical High $870.96 | Professional | 56 · Pre-op care only | $812.83 | $870.96 | $870.96 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | NR · New when rented | $11,748.98 | $11,748.98 | $11,748.98 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $11,220.18 Median $11,220.18 Typical High $13,182.57 | Professional | NR · New when rented | $11,220.18 | $11,220.18 | $13,182.57 |
Where Washington sits
The same service costs 2.5 times more in Montana 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· 9th of 51
$11,749
MT $16,596DE $6,607
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.