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 $616.60 Median $616.60 Typical High $933.25 | Facility | None | $616.60 | $616.60 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,819.70 | Facility | None | $501.19 | $724.44 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $660.69 | Professional | None | $501.19 | $602.56 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,659.59 | Facility | None | $977.24 | $1,412.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | None | $758.58 | $758.58 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Facility | None | $660.69 | $660.69 | $1,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,995.26 | Facility | None | $660.69 | $1,148.15 | $1,995.26 |
Premera BCBS Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $794.33 | Professional | None | $549.54 | $602.56 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,819.70 | Facility | None | $660.69 | $1,096.48 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $660.69 | Professional | None | $501.19 | $602.56 | $660.69 |
United Setting Facility Modifier None Typical Low $660.69 Median $794.33 Typical High $794.33 | Facility | None | $660.69 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $660.69 | Professional | None | $275.42 | $275.42 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $660.69 Typical High $1,202.26 | Professional | None | $295.12 | $660.69 | $1,202.26 |
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 $309.03 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $125.89 | $125.89 | $128.82 |
Where Washington sits
The same service costs 114.8 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· 20th of 51
$617
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.