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 $151.36 Median $151.36 Typical High $501.19 | Facility | None | $151.36 | $151.36 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | None | $151.36 | $151.36 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $446.68 | Facility | None | $120.23 | $177.83 | $446.68 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $162.18 | Professional | None | $120.23 | $144.54 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $239.88 Typical High $407.38 | Facility | None | $91.20 | $239.88 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $218.78 | Professional | None | $81.28 | $89.13 | $218.78 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $141.25 | Professional | None | $104.71 | $141.25 | $141.25 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $162.18 Typical High $323.59 | Facility | None | $77.62 | $162.18 | $323.59 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $281.84 Typical High $446.68 | Facility | None | $162.18 | $281.84 | $446.68 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $194.98 | Professional | None | $128.82 | $144.54 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $446.68 | Facility | None | $162.18 | $245.47 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $162.18 | Professional | None | $120.23 | $144.54 | $162.18 |
United Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $194.98 | Facility | None | $162.18 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $162.18 | Professional | None | $42.66 | $67.61 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $162.18 Typical High $288.40 | Professional | None | $72.44 | $162.18 | $288.40 |
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 $75.86 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $30.20 | $30.20 | $31.62 |
Where Washington sits
The same service costs 7.6 times more in Alaska than in Alabama. 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· 20th of 51
$148
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.