How much rates vary
Facilitymedian $6,310 · 10th to 90th $4,169 to $11,482Professionalmedian $3,981 · 10th to 90th $1,738 to $20,893
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 $3,890.45 Median $3,890.45 Typical High $5,888.44 | Facility | None | $3,890.45 | $3,890.45 | $5,888.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,162.28 Median $5,248.07 Typical High $11,481.54 | Facility | None | $3,162.28 | $5,248.07 | $11,481.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $20,892.96 Typical High $31,622.78 | Professional | None (both parts) | $3,548.13 | $20,892.96 | $31,622.78 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $8,912.51 Typical High $10,471.29 | Facility | None | $6,165.95 | $8,912.51 | $10,471.29 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $4,786.30 Typical High $10,471.29 | Professional | None (both parts) | $3,311.31 | $4,786.30 | $10,471.29 |
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 $4,168.69 Median $4,168.69 Typical High $4,570.88 | Facility | None | $4,168.69 | $4,168.69 | $4,570.88 |
Premera BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $7,244.36 Typical High $12,589.25 | Facility | None | $4,168.69 | $7,244.36 | $12,589.25 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $3,801.89 Typical High $5,011.87 | Professional | None (both parts) | $3,801.89 | $3,801.89 | $5,011.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $11,481.54 | Facility | None | $4,168.69 | $6,918.31 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,801.89 Typical High $4,677.35 | Professional | None (both parts) | $3,548.13 | $3,801.89 | $4,677.35 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $5,011.87 Typical High $5,011.87 | Facility | None | $4,168.69 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $4,168.69 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $4,168.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $4,168.69 Typical High $7,585.78 | Professional | None (both parts) | $1,862.09 | $4,168.69 | $7,585.78 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $20,892.96 Median $31,622.78 Typical High $31,622.78 | Professional | TC · Technical part | $20,892.96 | $31,622.78 | $31,622.78 |
Where Washington sits
The same service costs 67.6 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· 18th of 51
$4,169
TX $20,893OH $309
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.