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 $2,511.89 Median $2,511.89 Typical High $3,715.35 | Facility | None | $2,511.89 | $2,511.89 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,995.26 Median $3,311.31 Typical High $7,244.36 | Facility | None | $1,995.26 | $3,311.31 | $7,244.36 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $13,182.57 Typical High $19,952.62 | Professional | None (both parts) | $2,238.72 | $13,182.57 | $19,952.62 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $6,760.83 | Facility | None | $3,890.45 | $5,623.41 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,019.95 Typical High $6,606.93 | Professional | None (both parts) | $2,137.96 | $3,019.95 | $6,606.93 |
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 $2,630.27 Median $2,630.27 Typical High $2,951.21 | Facility | None | $2,630.27 | $2,630.27 | $2,951.21 |
Premera BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $4,677.35 Typical High $7,943.28 | Facility | None | $2,630.27 | $4,677.35 | $7,943.28 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $3,162.28 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,630.27 Median $4,365.16 Typical High $7,244.36 | Facility | None | $2,630.27 | $4,365.16 | $7,244.36 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,398.83 Typical High $2,951.21 | Professional | None (both parts) | $2,238.72 | $2,398.83 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $3,162.28 | Facility | None | $2,630.27 | $3,162.28 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,630.27 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,630.27 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,630.27 Typical High $4,786.30 | Professional | None (both parts) | $1,202.26 | $2,630.27 | $4,786.30 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $19,952.62 Typical High $19,952.62 | Professional | TC · Technical part | $13,182.57 | $19,952.62 | $19,952.62 |
Where Washington sits
The same service costs 33.9 times more in Texas than in Ohio. 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
$2,630
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.