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 $436.52 Median $436.52 Typical High $1,445.44 | Facility | None | $436.52 | $436.52 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $457.09 | Professional | None | $436.52 | $436.52 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $1,288.25 | Facility | None | $354.81 | $602.56 | $1,288.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $398.11 Median $2,344.23 Typical High $3,548.13 | Professional | None | $398.11 | $2,344.23 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,174.90 | Facility | None | $691.83 | $1,000.00 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $645.65 | Professional | None | $234.42 | $489.78 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $1,174.90 | Professional | None | $371.54 | $549.54 | $1,174.90 |
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 $467.74 Median $467.74 Typical High $933.25 | Facility | None | $467.74 | $467.74 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $1,412.54 | Facility | None | $467.74 | $812.83 | $1,412.54 |
Premera BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $1,288.25 | Facility | None | $467.74 | $707.95 | $1,288.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $524.81 | Professional | None | $398.11 | $416.87 | $524.81 |
United Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $562.34 | Facility | None | $467.74 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $467.74 | Professional | None | $194.98 | $194.98 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $467.74 Typical High $851.14 | Professional | None | $208.93 | $467.74 | $851.14 |
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 $218.78 Median $218.78 Typical High $229.09 | Professional | 52 · Reduced service | $218.78 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $87.10 | $91.20 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 23rd of 51
$468
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.