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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,659.59 | Professional | None | $851.14 | $1,023.29 | $1,659.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $645.65 Typical High $5,754.40 | Facility | None | $30.20 | $645.65 | $5,754.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,288.25 Median $6,456.54 Typical High $7,585.78 | Professional | None | $1,288.25 | $6,456.54 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $2,630.27 | Professional | None | $1,122.02 | $1,230.27 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,862.09 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,380.38 Typical High $2,398.83 | Professional | None | $239.88 | $1,380.38 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,778.28 | $1,862.09 |
Premera BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,258.93 | $1,258.93 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,862.09 | $2,570.40 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,584.89 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,148.15 | $1,659.59 |
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 $489.78 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $489.78 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $194.98 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | AS · PA/NP assist | $199.53 | $199.53 | $199.53 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Utah. 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.