How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $114.82 | Professional | None | $61.66 | $69.18 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Facility | None | $52.48 | $52.48 | $63.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $1,412.54 | Professional | None | $95.50 | $199.53 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $204.17 | Professional | None | $85.11 | $123.03 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $190.55 | Professional | None | $91.20 | $151.36 | $190.55 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $169.82 | Professional | None | $56.23 | $109.65 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $338.84 | Facility | None | $114.82 | $141.25 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $95.50 | Facility | None | $93.33 | $93.33 | $95.50 |
Premera BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $204.17 | Professional | None | $95.50 | $147.91 | $204.17 |
United Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $194.98 | Professional | None | $85.11 | $91.20 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $147.91 | Professional | None | $95.50 | $100.00 | $147.91 |
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 $34.67 Median $34.67 Typical High $44.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $17.78 | Professional | 53 · Discontinued | $13.80 | $13.80 | $17.78 |
Where Washington sits
The same service costs 4.2 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· 13th of 51
$110
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.