How much rates vary
Facilitymedian $759 · 10th to 90th $661 to $1,230Professionalmedian $759 · 10th to 90th $562 to $1,995
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 $562.34 Median $562.34 Typical High $933.25 | Facility | None | $562.34 | $562.34 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $562.34 | Professional | None | $537.03 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $851.14 | Facility | None | $588.84 | $691.83 | $851.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $758.58 Median $5,128.61 Typical High $5,754.40 | Professional | None | $758.58 | $5,128.61 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Kaiser Permanente Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,584.89 | Facility | None | $831.76 | $1,071.52 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,659.59 | Professional | None | $812.83 | $1,071.52 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $758.58 | Professional | None | $630.96 | $691.83 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $977.24 | Facility | None | $851.14 | $870.96 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Premera BCBS Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $933.25 | Professional | None | $724.44 | $758.58 | $933.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $724.44 | Professional | None | $371.54 | $371.54 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,348.96 | Professional | None | $457.09 | $630.96 | $1,348.96 |
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 $269.15 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $269.15 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $107.15 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $53.70 | $56.23 | $56.23 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | NR · New when rented | $758.58 | $758.58 | $758.58 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | NR · New when rented | $724.44 | $724.44 | $851.14 |
Where Washington sits
The same service costs 2.5 times more in Montana 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· 10th of 51
$759
MT $1,047DC $417
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.