How much rates vary
Facilitymedian $110 · 10th to 90th $98 to $191Professionalmedian $95 · 10th to 90th $72 to $275
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | None | $67.61 | $72.44 | $72.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $114.82 | Facility | None | $87.10 | $107.15 | $114.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $588.84 Typical High $851.14 | Professional | None | $95.50 | $588.84 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Facility | None | $91.20 | $91.20 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $199.53 | Facility | None | $107.15 | $134.90 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None | $102.33 | $138.04 | $229.09 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $112.20 | Professional | None | $60.26 | $60.26 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $112.20 | Facility | None | $109.65 | $112.20 | $112.20 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $218.78 | Facility | None | $97.72 | $97.72 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | None | $91.20 | $95.50 | $120.23 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $100.00 | Professional | None | $51.29 | $51.29 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $169.82 | Professional | None | $61.66 | $79.43 | $169.82 |
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 $33.88 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $33.88 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.49 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.76 | $7.24 | $7.24 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | NR · New when rented | $97.72 | $97.72 | $97.72 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | NR · New when rented | $91.20 | $91.20 | $107.15 |
Where Washington sits
The same service costs 1.9 times more in Montana than in Virginia. 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· 10th of 51
$97.72
MT $120VA $61.66
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.