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 $213.80 Median $213.80 Typical High $323.59 | Facility | None | $213.80 | $213.80 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | None | $213.80 | $213.80 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $489.78 | Professional | None | $245.47 | $275.42 | $489.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $758.58 Typical High $1,548.82 | Facility | None | $234.42 | $758.58 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,621.81 Typical High $2,691.53 | Professional | None | $245.47 | $1,621.81 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $371.54 Typical High $812.83 | Facility | None | $257.04 | $371.54 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $549.54 | Professional | None | $239.88 | $338.84 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $602.56 | Professional | None | $245.47 | $416.87 | $602.56 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $707.95 | Professional | None | $234.42 | $457.09 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $478.63 | Facility | None | $128.82 | $331.13 | $478.63 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $245.47 Typical High $245.47 | Facility | None | $239.88 | $245.47 | $245.47 |
Premera BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $758.58 Typical High $1,548.82 | Facility | None | $275.42 | $758.58 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $478.63 | Professional | None | $245.47 | $380.19 | $478.63 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,148.15 | $1,513.56 | $2,290.87 |
United Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $501.19 | Professional | None | $204.17 | $245.47 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $724.44 | Professional | None | $436.52 | $457.09 | $724.44 |
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 $107.15 Median $107.15 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $42.66 | $52.48 |
Where Washington sits
The same service costs 4.3 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· 6th of 51
$447
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.