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 $741.31 Median $741.31 Typical High $1,122.02 | Facility | None | $741.31 | $741.31 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $2,187.76 | Facility | None | $602.56 | $1,000.00 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $3,981.07 Typical High $6,025.60 | Professional | None (both parts) | $676.08 | $3,981.07 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,698.24 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,995.26 | Professional | None (both parts) | $630.96 | $912.01 | $1,995.26 |
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 $794.33 Median $794.33 Typical High $831.76 | Facility | None | $794.33 | $794.33 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $2,398.83 | Facility | None | $794.33 | $1,380.38 | $2,398.83 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None (both parts) | $707.95 | $707.95 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,187.76 | Facility | None | $794.33 | $1,318.26 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $676.08 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $676.08 | $707.95 | $891.25 |
United Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $954.99 | Facility | None | $794.33 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $794.33 | Professional | None (both parts) | $331.13 | $331.13 | $794.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $354.81 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $354.81 | $794.33 | $1,445.44 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $147.91 | $147.91 | $147.91 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3,981.07 Median $6,025.60 Typical High $6,025.60 | Professional | TC · Technical part | $3,981.07 | $6,025.60 | $6,025.60 |
Where Washington sits
The same service costs 12.0 times more in Texas 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· 16th of 51
$794
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.