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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $691.83 | Professional | None | $398.11 | $416.87 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $645.65 | Professional | None | $338.84 | $338.84 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $380.19 | Facility | None | $316.23 | $316.23 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $5,128.61 Typical High $14,791.08 | Professional | None | $575.44 | $5,128.61 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,202.26 | Professional | None | $501.19 | $707.95 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,148.15 | Professional | None | $549.54 | $891.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $1,096.48 | Professional | None | $363.08 | $691.83 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $724.44 Typical High $851.14 | Facility | None | $407.38 | $724.44 | $851.14 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $575.44 | Facility | None | $562.34 | $562.34 | $575.44 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,230.27 | Professional | None | $575.44 | $891.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $1,148.15 | Professional | None | $478.63 | $549.54 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $891.25 | Professional | None | $575.44 | $602.56 | $891.25 |
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 $208.93 Median $208.93 Typical High $269.15 | Professional | 52 · Reduced service | $208.93 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $83.18 | $107.15 |
Where Washington sits
The same service costs 4.2 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· 12th of 51
$692
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.