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 $338.84 Median $338.84 Typical High $512.86 | Facility | None | $338.84 | $338.84 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None (both parts) | $338.84 | $338.84 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $1,000.00 | Facility | None | $269.15 | $446.68 | $1,000.00 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,819.70 Typical High $2,691.53 | Professional | None (both parts) | $309.03 | $1,819.70 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $912.01 | Facility | None | $524.81 | $776.25 | $912.01 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $288.40 | $416.87 | $912.01 |
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 $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,096.48 | Facility | None | $398.11 | $630.96 | $1,096.48 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $323.59 | $323.59 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $1,000.00 | Facility | None | $363.08 | $588.84 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $309.03 | $323.59 | $407.38 |
United Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $436.52 | Facility | None | $363.08 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $151.36 | $151.36 | $363.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $162.18 | $363.08 | $645.65 |
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 $169.82 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $67.61 | $67.61 | $70.79 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $1,819.70 | $2,691.53 | $2,691.53 |
Where Washington sits
The same service costs 12.0 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· 17th of 51
$363
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.