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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $316.23 | Professional | None | $147.91 | $165.96 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $338.84 | Professional | None | $144.54 | $186.21 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $478.63 Typical High $2,511.89 | Professional | None | $229.09 | $478.63 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $478.63 | Professional | None | $194.98 | $281.84 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $457.09 | Professional | None | $213.80 | $354.81 | $457.09 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $426.58 | Professional | None | $138.04 | $275.42 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $794.33 | Facility | None | $194.98 | $323.59 | $794.33 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $229.09 | Facility | None | $223.87 | $223.87 | $229.09 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $489.78 | Professional | None | $229.09 | $346.74 | $489.78 |
United Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $457.09 | Professional | None | $190.55 | $218.78 | $457.09 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $354.81 | Professional | None | $229.09 | $239.88 | $354.81 |
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 $81.28 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | 53 · Discontinued | $33.11 | $33.11 | $42.66 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$269
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.