How much rates vary
Facilitymedian $372 · 10th to 90th $302 to $631Professionalmedian $331 · 10th to 90th $214 to $832
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $245.47 | Professional | None | $229.09 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $389.05 | Professional | None | $288.40 | $389.05 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $426.58 | Facility | None | $323.59 | $371.54 | $426.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $2,238.72 Typical High $2,951.21 | Professional | None | $331.13 | $2,238.72 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
Kaiser Permanente Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $676.08 | Facility | None | $363.08 | $457.09 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $851.14 | Professional | None | $346.74 | $467.74 | $851.14 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $316.23 | Professional | None | $263.03 | $288.40 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $416.87 | Facility | None | $302.00 | $371.54 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $741.31 | Facility | None | $331.13 | $331.13 | $741.31 |
Premera BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $407.38 | Professional | None | $309.03 | $331.13 | $407.38 |
United Setting Facility Modifier None Typical Low $229.09 Median $616.60 Typical High $616.60 | Facility | None | $229.09 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $371.54 | Professional | None | $190.55 | $190.55 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $575.44 | Professional | None | $269.15 | $295.12 | $575.44 |
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 $114.82 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $34.67 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $24.55 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | NR · New when rented | $331.13 | $331.13 | $331.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | NR · New when rented | $316.23 | $316.23 | $371.54 |
Where Washington sits
The same service costs 2.5 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· 15th of 51
$331
HI $513DC $209
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.