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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | None | $64.57 | $64.57 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $1,122.02 Typical High $2,238.72 | Facility | None | $37.15 | $1,122.02 | $2,238.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $2,884.03 | Professional | None | $79.43 | $165.96 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Facility | None | $933.25 | $1,174.90 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $173.78 | Professional | None | $72.44 | $95.50 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $104.71 Typical High $158.49 | Professional | None | $37.15 | $104.71 | $158.49 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $53.70 Typical High $85.11 | Professional | None | $28.84 | $53.70 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $85.11 Typical High $275.42 | Facility | None | $25.70 | $85.11 | $275.42 |
Pacific Source Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | None | $104.71 | $104.71 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Facility | None | $77.62 | $77.62 | $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 $758.58 Median $1,122.02 Typical High $2,238.72 | Facility | None | $758.58 | $1,122.02 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $165.96 | Professional | None | $79.43 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,089.30 | Facility | None | $1,023.29 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $199.53 | Professional | None | $61.66 | $70.79 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $100.00 | Professional | None | $48.98 | $66.07 | $100.00 |
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 $32.36 Median $32.36 Typical High $39.81 | Professional | 52 · Reduced service | $32.36 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $12.88 | $15.85 |
Where Washington sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 45th of 51
$64.57
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.