How much rates vary
Facilitymedian $16,982 · 10th to 90th $14,791 to $30,200Professionalmedian $15,136 · 10th to 90th $9,120 to $43,652
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 $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $10,715.19 Median $11,481.54 Typical High $11,481.54 | Professional | None | $10,715.19 | $11,481.54 | $11,481.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14,791.08 Median $16,982.44 Typical High $19,952.62 | Facility | None | $14,791.08 | $16,982.44 | $19,952.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15,135.61 Median $117,489.76 Typical High $134,896.29 | Professional | None | $15,135.61 | $117,489.76 | $134,896.29 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $13,489.63 | Facility | None | $12,589.25 | $12,589.25 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Kaiser Permanente Setting Facility Modifier None Typical Low $16,595.87 Median $21,379.62 Typical High $31,622.78 | Facility | None | $16,595.87 | $21,379.62 | $31,622.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16,218.10 Median $21,877.62 Typical High $38,904.51 | Professional | None | $16,218.10 | $21,877.62 | $38,904.51 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $13,489.63 Typical High $14,791.08 | Professional | None | $5,011.87 | $13,489.63 | $14,791.08 |
Pacific Source Setting Facility Modifier None Typical Low $15,848.93 Median $17,378.01 Typical High $21,379.62 | Facility | None | $15,848.93 | $17,378.01 | $21,379.62 |
Premera BCBS Setting Facility Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $33,884.42 | Facility | None | $15,488.17 | $15,488.17 | $33,884.42 |
Premera BCBS Setting Professional Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $16,982.44 | Professional | None | $14,454.40 | $14,454.40 | $16,982.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Facility | None | $16,982.44 | $16,982.44 | $16,982.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $14,454.40 Median $15,135.61 Typical High $18,620.87 | Professional | None | $14,454.40 | $15,135.61 | $18,620.87 |
United Setting Facility Modifier None Typical Low $9,332.54 Median $28,840.32 Typical High $28,840.32 | Facility | None | $9,332.54 | $28,840.32 | $28,840.32 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $16,982.44 | Professional | None | $8,709.64 | $8,709.64 | $16,982.44 |
Wellpoint Setting Professional Modifier None Typical Low $10,715.19 Median $12,589.25 Typical High $26,915.35 | Professional | None | $10,715.19 | $12,589.25 | $26,915.35 |
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 $5,370.32 Median $5,623.41 Typical High $5,623.41 | Professional | 52 · Reduced service | $5,370.32 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,137.96 Median $2,290.87 Typical High $2,290.87 | Professional | 53 · Discontinued | $2,137.96 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,698.24 Typical High $1,698.24 | Professional | 55 · Aftercare only | $1,584.89 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,071.52 Median $1,148.15 Typical High $1,148.15 | Professional | 56 · Pre-op care only | $1,071.52 | $1,148.15 | $1,148.15 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | NR · New when rented | $15,488.17 | $15,488.17 | $15,488.17 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $14,454.40 Median $14,454.40 Typical High $16,982.44 | Professional | NR · New when rented | $14,454.40 | $14,454.40 | $16,982.44 |
Where Washington sits
The same service costs 2.5 times more in Montana than in Florida. 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· 12th of 51
$15,488
MT $22,387FL $9,120
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.