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 $602.56 Median $602.56 Typical High $891.25 | Facility | None | $602.56 | $602.56 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $1,737.80 | Facility | None | $478.63 | $831.76 | $1,737.80 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $3,162.28 Typical High $4,786.30 | Professional | None (both parts) | $537.03 | $3,162.28 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,584.89 | Facility | None | $933.25 | $1,348.96 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $512.86 Median $724.44 Typical High $1,584.89 | Professional | None (both parts) | $512.86 | $724.44 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $660.69 | Facility | None | $630.96 | $630.96 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,905.46 | Facility | None | $691.83 | $1,122.02 | $1,905.46 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $575.44 | $575.44 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,737.80 | Facility | None | $630.96 | $1,000.00 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $537.03 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $537.03 | $575.44 | $707.95 |
United Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $758.58 | Facility | None | $630.96 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $269.15 | $269.15 | $630.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $288.40 Median $630.96 Typical High $1,148.15 | Professional | None (both parts) | $288.40 | $630.96 | $1,148.15 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $3,162.28 | $4,786.30 | $4,786.30 |
Where Washington sits
The same service costs 11.7 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· 12th of 51
$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.