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 $1,258.93 Median $1,258.93 Typical High $1,905.46 | Facility | None | $1,258.93 | $1,258.93 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,288.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $3,715.35 | Facility | None | $1,000.00 | $1,737.80 | $3,715.35 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $6,606.93 Typical High $10,000.00 | Professional | None (both parts) | $1,148.15 | $6,606.93 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $3,388.44 | Facility | None | $1,949.84 | $2,818.38 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,548.82 Typical High $3,311.31 | Professional | None (both parts) | $1,071.52 | $1,548.82 | $3,311.31 |
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 $1,348.96 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,348.96 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,981.07 | Facility | None | $1,348.96 | $2,344.23 | $3,981.07 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,715.35 | Facility | None | $1,348.96 | $2,089.30 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,202.26 Typical High $1,513.56 | Professional | None (both parts) | $1,148.15 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $562.34 | $562.34 | $1,348.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,348.96 Typical High $2,398.83 | Professional | None (both parts) | $602.56 | $1,348.96 | $2,398.83 |
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 $630.96 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $630.96 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | 53 · Discontinued | $251.19 | $251.19 | $257.04 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $6,760.83 | $10,000.00 | $10,000.00 |
Where Washington sits
The same service costs 104.7 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
$1,349
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.