How much rates vary
Facilitymedian $4,365 · 10th to 90th $2,951 to $7,943Professionalmedian $2,754 · 10th to 90th $1,230 to $14,454
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 $2,754.23 Median $2,754.23 Typical High $4,073.80 | Facility | None | $2,754.23 | $2,754.23 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,187.76 Median $3,801.89 Typical High $7,943.28 | Facility | None | $2,187.76 | $3,801.89 | $7,943.28 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $14,454.40 Typical High $21,877.62 | Professional | None (both parts) | $2,454.71 | $14,454.40 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $6,165.95 Typical High $7,413.10 | Facility | None | $4,265.80 | $6,165.95 | $7,413.10 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $3,388.44 Typical High $7,244.36 | Professional | None (both parts) | $2,344.23 | $3,388.44 | $7,244.36 |
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 $2,951.21 Median $2,951.21 Typical High $3,235.94 | Facility | None | $2,951.21 | $2,951.21 | $3,235.94 |
Premera BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $8,709.64 | Facility | None | $2,951.21 | $5,128.61 | $8,709.64 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $3,467.37 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $3,467.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,570.88 Typical High $7,943.28 | Facility | None | $2,951.21 | $4,570.88 | $7,943.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,630.27 Typical High $3,235.94 | Professional | None (both parts) | $2,454.71 | $2,630.27 | $3,235.94 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $3,467.37 | Facility | None | $2,951.21 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,951.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,951.21 Typical High $5,248.07 | Professional | None (both parts) | $1,318.26 | $2,951.21 | $5,248.07 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $21,877.62 Typical High $21,877.62 | Professional | TC · Technical part | $14,791.08 | $21,877.62 | $21,877.62 |
Where Washington sits
The same service costs 30.9 times more in Texas 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· 14th of 51
$2,951
TX $14,454OH $468
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.