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 $851.14 Median $851.14 Typical High $1,258.93 | Facility | None | $851.14 | $851.14 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $2,454.71 | Facility | None | $676.08 | $977.24 | $2,454.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $891.25 | Professional | None | $676.08 | $812.83 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,238.72 | Facility | None | $1,318.26 | $1,905.46 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,258.93 | Facility | None | $891.25 | $891.25 | $1,258.93 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,691.53 | Facility | None | $891.25 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,071.52 | Professional | None | $741.31 | $812.83 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,454.71 | Facility | None | $891.25 | $1,412.54 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $891.25 | Professional | None | $676.08 | $812.83 | $891.25 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $891.25 | Professional | None | $380.19 | $380.19 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $891.25 Typical High $1,621.81 | Professional | None | $407.38 | $891.25 | $1,621.81 |
2 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 $416.87 Median $416.87 Typical High $436.52 | Professional | 52 · Reduced service | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $169.82 | $173.78 |
Where Washington sits
The same service costs 31.6 times more in Alaska 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· 20th of 51
$851
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.