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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,230.27 | $1,778.28 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $794.33 Typical High $6,918.31 | Facility | None | $30.20 | $794.33 | $6,918.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $8,128.31 Typical High $9,549.93 | Professional | None | $1,548.82 | $8,128.31 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $3,311.31 | Professional | None | $1,348.96 | $1,479.11 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,380.38 | $2,290.87 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $1,659.59 Typical High $2,951.21 | Professional | None | $302.00 | $1,659.59 | $2,951.21 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $2,344.23 | Facility | None | $1,318.26 | $2,187.76 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,548.82 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,290.87 | $3,162.28 |
United Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,412.54 | Facility | None | $549.54 | $891.25 | $1,412.54 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,288.25 | $1,949.84 | $3,630.78 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,445.44 | $2,089.30 |
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 $588.84 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $588.84 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $239.88 | $245.47 | $245.47 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 16th of 51
$1,660
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.