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 $2,398.83 Median $2,398.83 Typical High $3,630.78 | Facility | None | $2,398.83 | $2,398.83 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,511.89 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,949.84 | $3,311.31 | $7,079.46 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $12,882.50 Typical High $19,498.45 | Professional | None (both parts) | $2,187.76 | $12,882.50 | $19,498.45 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,495.41 Typical High $6,456.54 | Facility | None | $3,801.89 | $5,495.41 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,951.21 Typical High $6,456.54 | Professional | None (both parts) | $2,041.74 | $2,951.21 | $6,456.54 |
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,570.40 | $4,466.84 | $7,762.47 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $3,090.30 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $3,090.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $7,079.46 | Facility | None | $2,570.40 | $4,073.80 | $7,079.46 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,290.87 Typical High $2,884.03 | Professional | None (both parts) | $2,187.76 | $2,290.87 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $2,570.40 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $2,570.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $2,570.40 Typical High $4,677.35 | Professional | None (both parts) | $1,148.15 | $2,570.40 | $4,677.35 |
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 $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 53 · Discontinued | $478.63 | $478.63 | $501.19 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $12,882.50 Median $19,498.45 Typical High $19,498.45 | Professional | TC · Technical part | $12,882.50 | $19,498.45 | $19,498.45 |
Where Washington sits
The same service costs 204.2 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· 11th of 51
$2,570
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.