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 $3,388.44 Median $3,388.44 Typical High $5,128.61 | Facility | None | $3,388.44 | $3,388.44 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $10,000.00 | Facility | None | $2,691.53 | $4,677.35 | $10,000.00 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $17,782.79 Typical High $26,915.35 | Professional | None (both parts) | $3,090.30 | $17,782.79 | $26,915.35 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $7,585.78 Typical High $9,120.11 | Facility | None | $5,248.07 | $7,585.78 | $9,120.11 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $4,168.69 Typical High $8,912.51 | Professional | None (both parts) | $2,884.03 | $4,168.69 | $8,912.51 |
Pacific Source Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,630.78 | $3,801.89 |
Premera BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $6,309.57 Typical High $10,715.19 | Facility | None | $3,630.78 | $6,309.57 | $10,715.19 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $4,365.16 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $10,000.00 | Facility | None | $3,630.78 | $5,623.41 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,235.94 Typical High $4,073.80 | Professional | None (both parts) | $3,090.30 | $3,235.94 | $4,073.80 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $4,365.16 | Facility | None | $3,630.78 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $3,630.78 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $3,630.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,630.78 Typical High $6,456.54 | Professional | None (both parts) | $1,621.81 | $3,630.78 | $6,456.54 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $676.08 | $676.08 | $676.08 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $18,197.01 Median $26,915.35 Typical High $26,915.35 | Professional | TC · Technical part | $18,197.01 | $26,915.35 | $26,915.35 |
Where Washington sits
The same service costs 8.9 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
$3,631
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.