How much rates vary
Facilitymedian $380 · 10th to 90th $316 to $562Professionalmedian $347 · 10th to 90th $200 to $1,000
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $426.58 | Facility | None | $323.59 | $380.19 | $426.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $346.74 Median $2,691.53 Typical High $3,090.30 | Professional | None | $346.74 | $2,691.53 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $269.15 | Facility | None | $251.19 | $251.19 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $724.44 | Facility | None | $389.05 | $489.78 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $912.01 | Professional | None | $371.54 | $501.19 | $912.01 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $416.87 | Professional | None | $60.26 | $60.26 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $407.38 Typical High $537.03 | Facility | None | $398.11 | $407.38 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | None | $338.84 | $338.84 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $436.52 | Professional | None | $331.13 | $346.74 | $436.52 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | None | $199.53 | $199.53 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $616.60 | Professional | None | $245.47 | $288.40 | $616.60 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | NR · New when rented | $354.81 | $354.81 | $354.81 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | NR · New when rented | $338.84 | $338.84 | $389.05 |
Where Washington sits
The same service costs 3.4 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· 10th of 51
$355
MT $562NY $166
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.