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 $4,677.35 Median $4,677.35 Typical High $7,079.46 | Facility | None | $4,677.35 | $4,677.35 | $7,079.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Professional | None (both parts) | $4,677.35 | $4,677.35 | $4,897.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,715.35 Median $6,309.57 Typical High $13,803.84 | Facility | None | $3,715.35 | $6,309.57 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $25,118.86 Typical High $37,153.52 | Professional | None (both parts) | $4,265.80 | $25,118.86 | $37,153.52 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $10,715.19 Typical High $12,589.25 | Facility | None | $7,244.36 | $10,715.19 | $12,589.25 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $5,754.40 Typical High $12,589.25 | Professional | None (both parts) | $3,981.07 | $5,754.40 | $12,589.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $44.67 | $50.12 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,623.41 | Facility | None | $5,011.87 | $5,011.87 | $5,623.41 |
Premera BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,709.64 Typical High $15,135.61 | Facility | None | $5,011.87 | $8,709.64 | $15,135.61 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $6,025.60 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $6,025.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,011.87 Median $8,128.31 Typical High $13,803.84 | Facility | None | $5,011.87 | $8,128.31 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,466.84 Typical High $5,623.41 | Professional | None (both parts) | $4,265.80 | $4,466.84 | $5,623.41 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $5,011.87 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $5,011.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $5,011.87 Typical High $8,912.51 | Professional | None (both parts) | $2,238.72 | $5,011.87 | $8,912.51 |
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 $2,344.23 Median $2,344.23 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,344.23 | $2,344.23 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $933.25 Typical High $977.24 | Professional | 53 · Discontinued | $933.25 | $933.25 | $977.24 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $25,118.86 Median $37,153.52 Typical High $37,153.52 | Professional | TC · Technical part | $25,118.86 | $37,153.52 | $37,153.52 |
Where Washington sits
The same service costs 12.0 times more in Texas than in Alabama. 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· 16th of 51
$5,012
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.