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 $281.84 Median $467.74 Typical High $1,318.26 | Facility | None | $281.84 | $467.74 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $794.33 | Professional | None | $281.84 | $281.84 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $512.86 | Professional | None | $398.11 | $398.11 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $758.58 Typical High $1,548.82 | Facility | None | $331.13 | $758.58 | $1,548.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $2,344.23 Typical High $3,890.45 | Professional | None | $331.13 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $954.99 | Facility | None | $446.68 | $630.96 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $724.44 | Professional | None | $323.59 | $446.68 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $724.44 | Professional | None | $309.03 | $549.54 | $724.44 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $64.57 | Professional | None | $44.67 | $50.12 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $371.54 Typical High $457.09 | Facility | None | $144.54 | $371.54 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $323.59 | Facility | None | $316.23 | $323.59 | $323.59 |
Premera BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $758.58 Typical High $1,548.82 | Facility | None | $446.68 | $758.58 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $645.65 | Professional | None | $331.13 | $501.19 | $645.65 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $3,311.31 | Facility | None | $1,621.81 | $2,137.96 | $3,311.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $660.69 | Professional | None | $239.88 | $331.13 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,023.29 | Professional | None | $630.96 | $660.69 | $1,023.29 |
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 $141.25 Median $141.25 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $57.54 | $57.54 | $69.18 |
Where Washington sits
The same service costs 5.1 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· 19th of 51
$437
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.