How much rates vary
Facilitymedian $42,658 · 10th to 90th $38,019 to $75,858Professionalmedian $38,019 · 10th to 90th $22,387 to $109,648
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 $28,840.32 Median $28,840.32 Typical High $28,840.32 | Facility | None | $28,840.32 | $28,840.32 | $28,840.32 |
Aetna Setting Professional Modifier None Typical Low $26,915.35 Median $28,840.32 Typical High $28,840.32 | Professional | None | $26,915.35 | $28,840.32 | $28,840.32 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33,113.11 Median $42,657.95 Typical High $43,651.58 | Facility | None | $33,113.11 | $42,657.95 | $43,651.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $38,018.94 Median $245,470.89 Typical High $331,131.12 | Professional | None | $38,018.94 | $245,470.89 | $331,131.12 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $33,884.42 | Facility | None | $30,199.52 | $30,199.52 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Kaiser Permanente Setting Facility Modifier None Typical Low $41,686.94 Median $53,703.18 Typical High $79,432.82 | Facility | None | $41,686.94 | $53,703.18 | $79,432.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40,738.03 Median $53,703.18 Typical High $79,432.82 | Professional | None | $40,738.03 | $53,703.18 | $79,432.82 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $33,884.42 Typical High $37,153.52 | Professional | None | $5,011.87 | $33,884.42 | $37,153.52 |
Pacific Source Setting Facility Modifier None Typical Low $41,686.94 Median $42,657.95 Typical High $43,651.58 | Facility | None | $41,686.94 | $42,657.95 | $43,651.58 |
Premera BCBS Setting Facility Modifier None Typical Low $38,904.51 Median $38,904.51 Typical High $85,113.80 | Facility | None | $38,904.51 | $38,904.51 | $85,113.80 |
Premera BCBS Setting Professional Modifier None Typical Low $36,307.81 Median $36,307.81 Typical High $42,657.95 | Professional | None | $36,307.81 | $36,307.81 | $42,657.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $42,657.95 | Facility | None | $42,657.95 | $42,657.95 | $42,657.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $35,481.34 Median $38,018.94 Typical High $46,773.51 | Professional | None | $35,481.34 | $38,018.94 | $46,773.51 |
United Setting Facility Modifier None Typical Low $64,565.42 Median $64,565.42 Typical High $64,565.42 | Facility | None | $64,565.42 | $64,565.42 | $64,565.42 |
United Setting Professional Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $38,018.94 | Professional | None | $19,498.45 | $19,498.45 | $38,018.94 |
Wellpoint Setting Professional Modifier None Typical Low $23,988.33 Median $31,622.78 Typical High $67,608.30 | Professional | None | $23,988.33 | $31,622.78 | $67,608.30 |
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 $13,489.63 Median $14,125.38 Typical High $14,125.38 | Professional | 52 · Reduced service | $13,489.63 | $14,125.38 | $14,125.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5,370.32 Median $5,754.40 Typical High $5,754.40 | Professional | 53 · Discontinued | $5,370.32 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,981.07 Median $4,265.80 Typical High $4,265.80 | Professional | 55 · Aftercare only | $3,981.07 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,691.53 Median $2,884.03 Typical High $2,884.03 | Professional | 56 · Pre-op care only | $2,691.53 | $2,884.03 | $2,884.03 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $38,904.51 Median $38,904.51 Typical High $38,904.51 | Facility | NR · New when rented | $38,904.51 | $38,904.51 | $38,904.51 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $36,307.81 Median $36,307.81 Typical High $42,657.95 | Professional | NR · New when rented | $36,307.81 | $36,307.81 | $42,657.95 |
Where Washington sits
The same service costs 2.1 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· 11th of 51
$38,905
HI $47,863NJ $22,387
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.