How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,862 to $3,548Professionalmedian $2,239 · 10th to 90th $1,259 to $6,310
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,659.59 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,511.89 | Facility | None | $1,862.09 | $2,238.72 | $2,511.89 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,238.72 Median $13,489.63 Typical High $19,952.62 | Professional | None | $2,238.72 | $13,489.63 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,570.88 | Facility | None | $2,454.71 | $3,090.30 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,162.28 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $2,630.27 | Professional | None | $60.26 | $60.26 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,570.40 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Premera BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,137.96 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,238.72 | $2,754.23 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,174.90 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $3,890.45 | Professional | None | $1,412.54 | $1,819.70 | $3,890.45 |
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 $776.25 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $776.25 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $309.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $234.42 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $154.88 | $165.96 | $165.96 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | NR · New when rented | $2,238.72 | $2,238.72 | $2,238.72 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,137.96 Median $2,137.96 Typical High $2,454.71 | Professional | NR · New when rented | $2,137.96 | $2,137.96 | $2,454.71 |
Where Washington sits
The same service costs 2.6 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· 9th of 51
$2,239
MT $2,754NY $1,072
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.