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 $575.44 Median $575.44 Typical High $851.14 | Facility | None | $575.44 | $575.44 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $1,659.59 | Facility | None | $457.09 | $794.33 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $3,019.95 Typical High $4,570.88 | Professional | None (both parts) | $512.86 | $3,019.95 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,548.82 | Facility | None | $891.25 | $1,288.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $489.78 Median $691.83 Typical High $1,513.56 | Professional | None (both parts) | $489.78 | $691.83 | $1,513.56 |
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 $602.56 Median $602.56 Typical High $724.44 | Facility | None | $602.56 | $602.56 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,819.70 | Facility | None | $602.56 | $1,071.52 | $1,819.70 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $549.54 | $549.54 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,659.59 | Facility | None | $602.56 | $954.99 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $676.08 | Professional | None (both parts) | $512.86 | $549.54 | $676.08 |
United Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $724.44 | Facility | None | $602.56 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $257.04 | $257.04 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $275.42 | $602.56 | $1,096.48 |
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 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $4,570.88 Typical High $4,570.88 | Professional | TC · Technical part | $3,090.30 | $4,570.88 | $4,570.88 |
Where Washington sits
The same service costs 47.9 times more in Texas 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· 18th of 51
$603
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.