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 $1,995.26 Median $1,995.26 Typical High $3,019.95 | Facility | None | $1,995.26 | $1,995.26 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $5,888.44 | Facility | None | $1,584.89 | $2,754.23 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $10,471.29 Typical High $15,848.93 | Professional | None (both parts) | $1,819.70 | $10,471.29 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $5,370.32 | Facility | None | $3,090.30 | $4,570.88 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,454.71 Typical High $5,370.32 | Professional | None (both parts) | $1,698.24 | $2,454.71 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,238.72 | Facility | None | $2,137.96 | $2,137.96 | $2,238.72 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $6,309.57 | Facility | None | $2,344.23 | $3,715.35 | $6,309.57 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,888.44 | Facility | None | $2,137.96 | $3,311.31 | $5,888.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,905.46 Typical High $2,398.83 | Professional | None (both parts) | $1,819.70 | $1,905.46 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $2,137.96 | Professional | None (both parts) | $891.25 | $891.25 | $2,137.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,137.96 Typical High $3,801.89 | Professional | None (both parts) | $954.99 | $2,137.96 | $3,801.89 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $10,715.19 Median $15,848.93 Typical High $15,848.93 | Professional | TC · Technical part | $10,715.19 | $15,848.93 | $15,848.93 |
Where Washington sits
The same service costs 229.1 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· 15th of 51
$2,138
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.