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 $3,235.94 Median $3,235.94 Typical High $4,897.79 | Facility | None | $3,235.94 | $3,235.94 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,311.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,265.80 Typical High $9,549.93 | Facility | None | $2,570.40 | $4,265.80 | $9,549.93 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $16,982.44 Typical High $25,703.96 | Professional | None (both parts) | $2,951.21 | $16,982.44 | $25,703.96 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $8,709.64 | Facility | None | $5,011.87 | $7,244.36 | $8,709.64 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,981.07 Typical High $8,511.38 | Professional | None (both parts) | $2,754.23 | $3,981.07 | $8,511.38 |
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 $3,467.37 Median $3,467.37 Typical High $3,890.45 | Facility | None | $3,467.37 | $3,467.37 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $6,025.60 Typical High $10,232.93 | Facility | None | $3,467.37 | $6,025.60 | $10,232.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $4,168.69 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $4,168.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $5,623.41 Typical High $9,549.93 | Facility | None | $3,467.37 | $5,623.41 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,090.30 Typical High $3,890.45 | Professional | None (both parts) | $2,951.21 | $3,090.30 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $3,467.37 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $3,467.37 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,467.37 Typical High $6,165.95 | Professional | None (both parts) | $1,548.82 | $3,467.37 | $6,165.95 |
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 $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 53 · Discontinued | $645.65 | $645.65 | $660.69 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $17,378.01 | $25,703.96 | $25,703.96 |
Where Washington sits
The same service costs 35.5 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· 14th of 51
$3,467
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.