How much rates vary
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 $676.08 Median $676.08 Typical High $1,023.29 | Facility | None | $676.08 | $676.08 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $676.08 | $676.08 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,995.26 | Facility | None | $537.03 | $933.25 | $1,995.26 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $3,630.78 Typical High $5,370.32 | Professional | None (both parts) | $616.60 | $3,630.78 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,047.13 | $1,513.56 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,819.70 | Professional | None (both parts) | $575.44 | $831.76 | $1,819.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,445.44 | Facility | None | $724.44 | $724.44 | $1,445.44 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $724.44 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $724.44 | $851.14 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,137.96 | Facility | None | $724.44 | $1,258.93 | $2,137.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $645.65 | $645.65 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,995.26 | Facility | None | $724.44 | $1,122.02 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $616.60 | $645.65 | $812.83 |
United Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $870.96 | Facility | None | $724.44 | $870.96 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $302.00 | $302.00 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $724.44 Typical High $1,288.25 | Professional | None (both parts) | $323.59 | $724.44 | $1,288.25 |
4 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 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $338.84 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $134.90 | $134.90 | $141.25 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $5,370.32 Typical High $5,370.32 | Professional | TC · Technical part | $4,466.84 | $5,370.32 | $5,370.32 |
Where Washington sits
The same service costs 9.3 times more in Texas than in Rhode Island. 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· 20th of 51
$724
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.