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 $707.95 Median $707.95 Typical High $1,071.52 | Facility | None | $707.95 | $707.95 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $741.31 | Professional | None (both parts) | $707.95 | $707.95 | $741.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $2,089.30 | Facility | None | $575.44 | $977.24 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $3,801.89 Typical High $5,754.40 | Professional | None (both parts) | $645.65 | $3,801.89 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,621.81 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $602.56 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $602.56 | $870.96 | $1,905.46 |
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 $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,318.26 Typical High $2,290.87 | Facility | None | $758.58 | $1,318.26 | $2,290.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $691.83 | $691.83 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,089.30 | Facility | None | $758.58 | $1,202.26 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $645.65 Median $691.83 Typical High $851.14 | Professional | None (both parts) | $645.65 | $691.83 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $758.58 | Professional | None (both parts) | $316.23 | $316.23 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $338.84 | $758.58 | $1,380.38 |
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 $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $141.25 | $141.25 | $147.91 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $3,801.89 | $5,754.40 | $5,754.40 |
Where Washington sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 17th of 51
$759
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.