How much rates vary
Facilitymedian $794 · 10th to 90th $631 to $1,380Professionalmedian $708 · 10th to 90th $309 to $1,660
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | None | $489.78 | $524.81 | $524.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $794.33 | Facility | None | $588.84 | $776.25 | $794.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $4,365.16 Typical High $6,606.93 | Professional | None | $707.95 | $4,365.16 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Kaiser Permanente Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,445.44 | Facility | None | $776.25 | $977.24 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,445.44 | Professional | None | $741.31 | $1,000.00 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $676.08 | Professional | None | $562.34 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $812.83 | Facility | None | $630.96 | $794.33 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,584.89 | Facility | None | $707.95 | $707.95 | $1,584.89 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | None | $676.08 | $676.08 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $870.96 | Professional | None | $660.69 | $707.95 | $870.96 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,047.13 | Facility | None | $870.96 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $630.96 | Professional | None | $323.59 | $323.59 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $1,230.27 | Professional | None | $389.05 | $575.44 | $1,230.27 |
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 $245.47 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $52.48 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | NR · New when rented | $707.95 | $707.95 | $707.95 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | NR · New when rented | $676.08 | $676.08 | $776.25 |
Where Washington sits
The same service costs 2.8 times more in Wisconsin 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· 7th of 51
$708
WI $851FL $309
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.