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 $1,698.24 Median $1,698.24 Typical High $5,623.41 | Facility | None | $1,698.24 | $1,698.24 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,698.24 | $2,570.40 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $5,011.87 | Facility | None | $1,380.38 | $2,511.89 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,548.82 Median $9,120.11 Typical High $13,803.84 | Professional | None | $1,548.82 | $9,120.11 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $5,888.44 | Facility | None | $1,905.46 | $3,311.31 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,905.46 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $4,570.88 | Professional | None | $1,621.81 | $2,290.87 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $1,445.44 Typical High $1,621.81 | Professional | None | $75.86 | $1,445.44 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,715.35 | Facility | None | $1,819.70 | $1,819.70 | $3,715.35 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,819.70 | $3,162.28 | $5,495.41 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,659.59 | $1,659.59 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $5,011.87 | Facility | None | $1,819.70 | $3,019.95 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,548.82 | $1,819.70 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,819.70 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $2,041.74 | Professional | None | $758.58 | $758.58 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,819.70 Typical High $3,311.31 | Professional | None | $812.83 | $1,819.70 | $3,311.31 |
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 $851.14 Median $851.14 Typical High $1,047.13 | Professional | 52 · Reduced service | $851.14 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | 53 · Discontinued | $346.74 | $346.74 | $426.58 |
Where Washington sits
The same service costs 4.3 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· 21st of 51
$1,995
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.