How much rates vary
Facilitymedian $7,079 · 10th to 90th $6,026 to $12,589Professionalmedian $6,310 · 10th to 90th $3,467 to $18,197
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,466.84 | $4,786.30 | $4,786.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5,888.44 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,888.44 | $7,079.46 | $7,762.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6,309.57 Median $47,863.01 Typical High $53,703.18 | Professional | None | $6,309.57 | $47,863.01 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Kaiser Permanente Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $13,182.57 | Facility | None | $7,079.46 | $8,912.51 | $13,182.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6,760.83 Median $9,120.11 Typical High $15,848.93 | Professional | None | $6,760.83 | $9,120.11 | $15,848.93 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $6,165.95 | Professional | None | $5,011.87 | $5,623.41 | $6,165.95 |
Pacific Source Setting Facility Modifier None Typical Low $7,079.46 Median $7,244.36 Typical High $7,413.10 | Facility | None | $7,079.46 | $7,244.36 | $7,413.10 |
Premera BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $14,454.40 | Facility | None | $6,456.54 | $6,456.54 | $14,454.40 |
Premera BCBS Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | None | $6,025.60 | $6,025.60 | $7,079.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,025.60 Median $6,309.57 Typical High $7,762.47 | Professional | None | $6,025.60 | $6,309.57 | $7,762.47 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $11,481.54 Typical High $11,481.54 | Facility | None | $3,548.13 | $11,481.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $6,918.31 | Professional | None | $3,548.13 | $3,548.13 | $6,918.31 |
Wellpoint Setting Professional Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $11,220.18 | Professional | None | $4,265.80 | $5,248.07 | $11,220.18 |
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 $2,238.72 Median $2,398.83 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,238.72 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $891.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $676.08 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | 56 · Pre-op care only | $446.68 | $478.63 | $478.63 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | NR · New when rented | $6,456.54 | $6,456.54 | $6,456.54 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | NR · New when rented | $6,025.60 | $6,025.60 | $7,079.46 |
Where Washington sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$6,457
AR $8,128VT $3,467
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.