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 $891.25 Median $891.25 Typical High $1,348.96 | Facility | None | $891.25 | $891.25 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | None (both parts) | $891.25 | $891.25 | $912.01 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $2,630.27 | Facility | None | $707.95 | $1,047.13 | $2,630.27 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $851.14 Typical High $954.99 | Professional | None (both parts) | $707.95 | $851.14 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,398.83 | Facility | None | $1,380.38 | $2,041.74 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,348.96 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,412.54 | Facility | None | $954.99 | $1,047.13 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,818.38 | Facility | None | $954.99 | $1,659.59 | $2,818.38 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $851.14 Typical High $1,148.15 | Professional | None (both parts) | $776.25 | $851.14 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,630.27 | Facility | None | $954.99 | $1,548.82 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $707.95 Median $851.14 Typical High $954.99 | Professional | None (both parts) | $707.95 | $851.14 | $954.99 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Facility | None | $954.99 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $954.99 | Professional | None (both parts) | $398.11 | $398.11 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $426.58 Median $954.99 Typical High $1,698.24 | Professional | None (both parts) | $426.58 | $954.99 | $1,698.24 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 52 · Reduced service | $446.68 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 53 · Discontinued | $177.83 | $177.83 | $186.21 |
Where Washington sits
The same service costs 3.7 times more in Wyoming than in Mississippi. 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
$891
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.