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 $1,949.84 Median $1,949.84 Typical High $2,951.21 | Facility | None | $1,949.84 | $1,949.84 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,995.26 | Professional | None | $1,949.84 | $1,949.84 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $5,754.40 | Facility | None | $1,548.82 | $2,290.87 | $5,754.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,862.09 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $5,248.07 | Facility | None | $3,019.95 | $4,365.16 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,398.83 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Facility | None | $2,089.30 | $2,089.30 | $2,511.89 |
Premera BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $6,165.95 | Facility | None | $2,089.30 | $3,630.78 | $6,165.95 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,862.09 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $5,754.40 | Facility | None | $2,089.30 | $3,388.44 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,548.82 | $1,862.09 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,089.30 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $2,089.30 | Professional | None | $870.96 | $870.96 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $933.25 Median $2,089.30 Typical High $3,715.35 | Professional | None | $933.25 | $2,089.30 | $3,715.35 |
2 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 $977.24 Median $977.24 Typical High $1,000.00 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 53 · Discontinued | $389.05 | $389.05 | $398.11 |
Where Washington sits
The same service costs 354.8 times more in Wisconsin than in Alabama. 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· 19th of 51
$1,950
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.