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 $371.54 Median $371.54 Typical High $549.54 | Facility | None | $371.54 | $371.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | None | $371.54 | $371.54 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $426.58 Typical High $1,071.52 | Facility | None | $295.12 | $426.58 | $1,071.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $389.05 | Professional | None | $295.12 | $354.81 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $977.24 | Facility | None | $575.44 | $831.76 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None | $446.68 | $446.68 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,174.90 | Facility | None | $389.05 | $676.08 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $467.74 | Professional | None | $323.59 | $354.81 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $1,071.52 | Facility | None | $389.05 | $616.60 | $1,071.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $389.05 | Professional | None | $295.12 | $354.81 | $389.05 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $467.74 | Facility | None | $389.05 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | None | $165.96 | $165.96 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $389.05 Typical High $707.95 | Professional | None | $177.83 | $389.05 | $707.95 |
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 $181.97 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $74.13 | $75.86 |
Where Washington sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 22nd of 51
$372
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.