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 $275.42 Median $275.42 Typical High $912.01 | Facility | None | $275.42 | $275.42 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $288.40 | Professional | None | $251.19 | $275.42 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $223.87 Median $380.19 Typical High $812.83 | Facility | None | $223.87 | $380.19 | $812.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $251.19 Median $1,479.11 Typical High $2,238.72 | Professional | None | $251.19 | $1,479.11 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $870.96 | Facility | None | $436.52 | $602.56 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $407.38 | Professional | None | $147.91 | $302.00 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $741.31 | Professional | None | $234.42 | $346.74 | $741.31 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $588.84 | Facility | None | $295.12 | $295.12 | $588.84 |
Premera BCBS Setting Facility Modifier None Typical Low $295.12 Median $512.86 Typical High $891.25 | Facility | None | $295.12 | $512.86 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | None | $269.15 | $269.15 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $812.83 | Facility | None | $295.12 | $446.68 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $354.81 | Professional | None | $251.19 | $295.12 | $354.81 |
United Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $354.81 | Facility | None | $295.12 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | None | $123.03 | $123.03 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $295.12 Typical High $537.03 | Professional | None | $131.83 | $295.12 | $537.03 |
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 $138.04 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $56.23 | $57.54 |
Where Washington sits
The same service costs 3.8 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
$309
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.