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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $323.59 | $537.03 | $537.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $288.40 Median $416.87 Typical High $1,047.13 | Facility | None | $288.40 | $416.87 | $1,047.13 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $288.40 | $338.84 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $954.99 | Facility | None | $562.34 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $436.52 | $436.52 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | None (both parts) | $44.67 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $537.03 | Facility | None | $380.19 | $380.19 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $1,148.15 | Facility | None | $380.19 | $660.69 | $1,148.15 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $309.03 | $338.84 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $1,047.13 | Facility | None | $380.19 | $602.56 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $288.40 | $338.84 | $380.19 |
United Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $457.09 | Facility | None | $380.19 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $380.19 | Professional | None (both parts) | $158.49 | $158.49 | $380.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $380.19 Typical High $691.83 | Professional | None (both parts) | $169.82 | $380.19 | $691.83 |
3 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 $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 52 · Reduced service | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $70.79 | $70.79 | $74.13 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 23rd of 51
$363
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.