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 $173.78 Median $173.78 Typical High $575.44 | Facility | None | $173.78 | $173.78 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $512.86 | Facility | None | $138.04 | $239.88 | $512.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $158.49 Median $933.25 Typical High $1,380.38 | Professional | None | $158.49 | $933.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $467.74 | Facility | None | $269.15 | $398.11 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $251.19 | Professional | None | $93.33 | $194.98 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $467.74 | Professional | None | $147.91 | $218.78 | $467.74 |
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 $186.21 Median $208.93 Typical High $407.38 | Facility | None | $186.21 | $208.93 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $549.54 | Facility | None | $186.21 | $323.59 | $549.54 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None | $165.96 | $165.96 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $512.86 | Facility | None | $186.21 | $275.42 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $208.93 | Professional | None | $158.49 | $165.96 | $208.93 |
United Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $223.87 | Facility | None | $186.21 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $186.21 | Professional | None | $77.62 | $77.62 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $331.13 | Professional | None | $83.18 | $186.21 | $331.13 |
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 $87.10 Median $87.10 Typical High $89.13 | Professional | 52 · Reduced service | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 53 · Discontinued | $34.67 | $34.67 | $36.31 |
Where Washington sits
The same service costs 4.5 times more in Texas 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· 21st of 51
$191
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.