How much rates vary
Facilitymedian $589 · 10th to 90th $468 to $933Professionalmedian $575 · 10th to 90th $316 to $1,660
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | None | $407.38 | $436.52 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $645.65 | Facility | None | $467.74 | $562.34 | $645.65 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $3,388.44 Typical High $5,128.61 | Professional | None | $575.44 | $3,388.44 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Kaiser Permanente Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,202.26 | Facility | None | $645.65 | $812.83 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,348.96 | Professional | None | $616.60 | $831.76 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $676.08 | Professional | None | $60.26 | $60.26 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $660.69 | Facility | None | $645.65 | $645.65 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $707.95 | Professional | None | $549.54 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $1,023.29 | Professional | None | $363.08 | $478.63 | $1,023.29 |
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 $204.17 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $40.74 | $43.65 | $43.65 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | NR · New when rented | $588.84 | $588.84 | $588.84 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | NR · New when rented | $549.54 | $549.54 | $645.65 |
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
$575
MT $708NY $275
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.