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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $109.65 Typical High $245.47 | Facility | None | $42.66 | $109.65 | $245.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $69.18 Median $123.03 Typical High $323.59 | Professional | None | $69.18 | $123.03 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $57.54 | Facility | None | $32.36 | $53.70 | $57.54 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Facility | None | $67.61 | $67.61 | $79.43 |
Premera BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $208.93 | Facility | None | $83.18 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $141.25 | Professional | None | $69.18 | $112.20 | $141.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $190.55 | Professional | None | $64.57 | $87.10 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $131.83 | Professional | None | $81.28 | $85.11 | $131.83 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Where Washington sits
The same service costs 6.9 times more in Alaska than in New York. 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· 12th of 51
$79.43
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.