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 $125.89 Median $125.89 Typical High $190.55 | Facility | None | $125.89 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $371.54 | Facility | None | $100.00 | $173.78 | $371.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $660.69 Typical High $1,000.00 | Professional | None (both parts) | $114.82 | $660.69 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $281.84 Typical High $338.84 | Facility | None | $194.98 | $281.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $338.84 | Professional | None (both parts) | $107.15 | $154.88 | $338.84 |
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 $134.90 Median $134.90 Typical High $162.18 | Facility | None | $134.90 | $134.90 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $398.11 | Facility | None | $134.90 | $234.42 | $398.11 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $120.23 | $120.23 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $371.54 | Facility | None | $134.90 | $208.93 | $371.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $114.82 | $120.23 | $151.36 |
United Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $162.18 | Facility | None | $134.90 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $56.23 | $56.23 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $60.26 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $60.26 | $134.90 | $239.88 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $676.08 | $1,000.00 | $1,000.00 |
Where Washington sits
The same service costs 11.7 times more in Texas than in New Mexico. 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· 29th of 51
$135
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.