How much rates vary
Facilitymedian $468 · 10th to 90th $417 to $741Professionalmedian $457 · 10th to 90th $347 to $1,047
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $512.86 | Facility | None | $371.54 | $446.68 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $457.09 Median $2,691.53 Typical High $3,981.07 | Professional | None | $457.09 | $2,691.53 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Kaiser Permanente Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $954.99 | Facility | None | $501.19 | $645.65 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,047.13 | Professional | None | $489.78 | $660.69 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $575.44 | Professional | None | $457.09 | $512.86 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $512.86 Typical High $524.81 | Facility | None | $478.63 | $512.86 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Premera BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None | $436.52 | $436.52 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $562.34 | Professional | None | $436.52 | $457.09 | $562.34 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $457.09 | Professional | None | $234.42 | $234.42 | $457.09 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $380.19 Typical High $812.83 | Professional | None | $281.84 | $380.19 | $812.83 |
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 $162.18 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $162.18 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $47.86 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $34.67 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | NR · New when rented | $467.74 | $467.74 | $467.74 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | NR · New when rented | $436.52 | $436.52 | $512.86 |
Where Washington sits
The same service costs 2.5 times more in Montana than in New York. 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
$468
MT $550NY $219
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.