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 $691.83 Median $691.83 Typical High $1,047.13 | Facility | None | $691.83 | $691.83 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $724.44 | Professional | None (both parts) | $691.83 | $691.83 | $724.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $562.34 Median $954.99 Typical High $2,041.74 | Facility | None | $562.34 | $954.99 | $2,041.74 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $3,715.35 Typical High $5,623.41 | Professional | None (both parts) | $630.96 | $3,715.35 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,584.89 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $588.84 Median $851.14 Typical High $1,862.09 | Professional | None (both parts) | $588.84 | $851.14 | $1,862.09 |
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 $741.31 Median $741.31 Typical High $776.25 | Facility | None | $741.31 | $741.31 | $776.25 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,238.72 | Facility | None | $741.31 | $1,288.25 | $2,238.72 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $660.69 | $660.69 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,041.74 | Facility | None | $741.31 | $1,174.90 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $630.96 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $630.96 | $660.69 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $309.03 | $309.03 | $741.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $741.31 Typical High $1,348.96 | Professional | None (both parts) | $331.13 | $741.31 | $1,348.96 |
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 $346.74 Median $346.74 Typical High $363.08 | Professional | 52 · Reduced service | $346.74 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 53 · Discontinued | $138.04 | $138.04 | $144.54 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $3,715.35 | $5,623.41 | $5,623.41 |
Where Washington sits
The same service costs 58.9 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· 24th of 51
$741
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.