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 Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $16,982.44 | Professional | None | $2,344.23 | $2,570.40 | $16,982.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $8,128.31 | Facility | None | $912.01 | $3,981.07 | $8,128.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $11,481.54 | Professional | None | $1,548.82 | $2,884.03 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,570.88 | Facility | None | $2,137.96 | $2,137.96 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,479.11 | $2,511.89 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $812.83 | Professional | None | $741.31 | $812.83 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,344.23 | Facility | None | $933.25 | $1,174.90 | $2,344.23 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,995.26 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,995.26 | $3,981.07 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,388.44 | Professional | None | $1,548.82 | $2,454.71 | $3,388.44 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $7,413.10 | Facility | None | $3,715.35 | $4,897.79 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,479.11 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,659.59 | $1,737.80 | $2,630.27 |
3 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 Facility Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $891.25 | Professional | 52 · Reduced service | $616.60 | $616.60 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $245.47 | $302.00 |
Where Washington sits
The same service costs 70.8 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· 7th of 51
$2,239
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.