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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $177.83 | Professional | None | $100.00 | $104.71 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Facility | None | $79.43 | $79.43 | $95.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $660.69 Typical High $891.25 | Professional | None | $144.54 | $660.69 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $309.03 | Professional | None | $120.23 | $173.78 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $281.84 | Professional | None | $138.04 | $218.78 | $281.84 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $251.19 | Professional | None | $83.18 | $165.96 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $190.55 Typical High $213.80 | Facility | None | $109.65 | $190.55 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Facility | None | $141.25 | $141.25 | $147.91 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $316.23 | Professional | None | $144.54 | $223.87 | $316.23 |
United Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $288.40 | Professional | None | $114.82 | $134.90 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $223.87 | Professional | None | $147.91 | $151.36 | $223.87 |
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 $52.48 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.92 |
Where Washington sits
The same service costs 4.4 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
$162
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.