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 $9.77 Median $93.33 Typical High $602.56 | Facility | None | $9.77 | $93.33 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $144.54 | Professional | None | $53.70 | $87.10 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | None | $85.11 | $107.15 | $181.97 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $380.19 Typical High $776.25 | Facility | None | $69.18 | $380.19 | $776.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $112.20 Median $707.95 Typical High $812.83 | Professional | None | $112.20 | $707.95 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $478.63 | Facility | None | $257.04 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $275.42 | Professional | None | $95.50 | $138.04 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $239.88 | Professional | None | $91.20 | $190.55 | $239.88 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $263.03 | Professional | None | $85.11 | $165.96 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $426.58 | Facility | None | $131.83 | $162.18 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $776.25 | Facility | None | $251.19 | $380.19 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $263.03 | Professional | None | $112.20 | $181.97 | $263.03 |
United Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Facility | None | $398.11 | $524.81 | $812.83 |
United Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $234.42 | Professional | None | $77.62 | $109.65 | $234.42 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $213.80 | Professional | None | $128.82 | $134.90 | $213.80 |
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 $43.65 Median $43.65 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $17.78 | $21.38 |
Where Washington sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 9th of 51
$166
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.