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 $4,897.79 Median $4,897.79 Typical High $7,413.10 | Facility | None | $4,897.79 | $4,897.79 | $7,413.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $5,011.87 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $5,011.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $14,454.40 | Facility | None | $3,890.45 | $6,760.83 | $14,454.40 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $26,302.68 Typical High $38,904.51 | Professional | None (both parts) | $4,466.84 | $26,302.68 | $38,904.51 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $11,220.18 Typical High $13,182.57 | Facility | None | $7,585.78 | $11,220.18 | $13,182.57 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $6,025.60 Typical High $13,182.57 | Professional | None (both parts) | $4,168.69 | $6,025.60 | $13,182.57 |
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Premera BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $9,120.11 Typical High $15,848.93 | Facility | None | $5,248.07 | $9,120.11 | $15,848.93 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $4,677.35 Median $4,677.35 Typical High $6,309.57 | Professional | None (both parts) | $4,677.35 | $4,677.35 | $6,309.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $14,454.40 | Facility | None | $5,248.07 | $8,128.31 | $14,454.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,677.35 Typical High $5,888.44 | Professional | None (both parts) | $4,466.84 | $4,677.35 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $5,248.07 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $5,248.07 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $5,248.07 Typical High $9,332.54 | Professional | None (both parts) | $2,344.23 | $5,248.07 | $9,332.54 |
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 $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,454.71 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $977.24 Median $977.24 Typical High $1,023.29 | Professional | 53 · Discontinued | $977.24 | $977.24 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $26,302.68 Median $38,904.51 Typical High $38,904.51 | Professional | TC · Technical part | $26,302.68 | $38,904.51 | $38,904.51 |
Where Washington sits
The same service costs 416.9 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· 19th of 51
$5,248
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.