How much rates vary
Facilitymedian $48 · 10th to 90th $32 to $83Professionalmedian $48 · 10th to 90th $26 to $98
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 $32.36 Median $32.36 Typical High $53.70 | Facility | None | $32.36 | $32.36 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | None | $28.18 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $50.12 | Professional | None | $38.02 | $50.12 | $50.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $50.12 | Facility | None | $38.02 | $47.86 | $50.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $42.66 Median $323.59 Typical High $338.84 | Professional | None | $42.66 | $323.59 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $38.90 | Facility | None | $30.20 | $34.67 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Kaiser Permanente Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $89.13 | Facility | None | $47.86 | $60.26 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $97.72 | Professional | None | $45.71 | $61.66 | $97.72 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $41.69 | Professional | None | $33.88 | $38.02 | $41.69 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $47.86 Typical High $48.98 | Facility | None | $38.90 | $47.86 | $48.98 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $97.72 | Facility | None | $32.36 | $32.36 | $97.72 |
Premera BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $52.48 | Professional | None | $40.74 | $42.66 | $52.48 |
United Setting Facility Modifier None Typical Low $29.51 Median $70.79 Typical High $70.79 | Facility | None | $29.51 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | None | $21.88 | $21.88 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $75.86 | Professional | None | $35.48 | $40.74 | $75.86 |
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 $15.14 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $15.14 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.03 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.47 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.02 | $3.24 | $3.24 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | NR · New when rented | $32.36 | $32.36 | $32.36 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | NR · New when rented | $54.95 | $54.95 | $54.95 |
Where Washington sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$47.86
HI $77.62DC $24.55
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.