How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,455 to $6,761Professionalmedian $2,344 · 10th to 90th $1,023 to $12,303
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 $2,290.87 Median $2,290.87 Typical High $3,467.37 | Facility | None | $2,290.87 | $2,290.87 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $2,290.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $6,760.83 | Facility | None | $1,819.70 | $3,162.28 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $12,302.69 Typical High $18,197.01 | Professional | None (both parts) | $2,089.30 | $12,302.69 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $6,165.95 | Facility | None | $3,548.13 | $5,248.07 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,818.38 Typical High $6,165.95 | Professional | None (both parts) | $1,949.84 | $2,818.38 | $6,165.95 |
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 $2,454.71 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,454.71 | $2,454.71 | $2,951.21 |
Premera BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,454.71 | $4,265.80 | $7,413.10 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $6,760.83 | Facility | None | $2,454.71 | $3,801.89 | $6,760.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,187.76 Typical High $2,754.23 | Professional | None (both parts) | $2,089.30 | $2,187.76 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,454.71 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $2,454.71 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $2,454.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,454.71 Typical High $4,365.16 | Professional | None (both parts) | $1,096.48 | $2,454.71 | $4,365.16 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $18,197.01 Typical High $18,197.01 | Professional | TC · Technical part | $12,302.69 | $18,197.01 | $18,197.01 |
Where Washington sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 17th of 51
$2,455
AK $5,495OH $617
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.