How much rates vary
Facilitymedian $912 · 10th to 90th $776 to $1,585Professionalmedian $813 · 10th to 90th $603 to $1,950
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | None | $575.44 | $602.56 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $912.01 | Facility | None | $660.69 | $891.25 | $912.01 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $812.83 Median $4,677.35 Typical High $6,918.31 | Professional | None | $812.83 | $4,677.35 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Facility Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,698.24 | Facility | None | $891.25 | $1,148.15 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,778.28 | Professional | None | $851.14 | $1,148.15 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | None | $645.65 | $645.65 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $933.25 | Facility | None | $776.25 | $912.01 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,819.70 | Facility | None | $812.83 | $812.83 | $1,819.70 |
Premera BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,000.00 | Professional | None | $776.25 | $812.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,071.52 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $776.25 | Professional | None | $398.11 | $398.11 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,445.44 | Professional | None | $616.60 | $676.08 | $1,445.44 |
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 $281.84 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $60.26 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | NR · New when rented | $812.83 | $812.83 | $812.83 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | NR · New when rented | $776.25 | $776.25 | $912.01 |
Where Washington sits
The same service costs 2.0 times more in Iowa 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· 4th of 51
$813
IA $891FL $447
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.