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 $229.09 Median $229.09 Typical High $741.31 | Facility | None | $229.09 | $229.09 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | None | $229.09 | $229.09 | $251.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $660.69 | Facility | None | $181.97 | $331.13 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $204.17 Median $1,202.26 Typical High $1,819.70 | Professional | None | $204.17 | $1,202.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $436.52 Typical High $776.25 | Facility | None | $354.81 | $436.52 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $331.13 | Professional | None | $141.25 | $251.19 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $602.56 | Professional | None | $213.80 | $288.40 | $602.56 |
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 $239.88 Median $269.15 Typical High $537.03 | Facility | None | $239.88 | $269.15 | $537.03 |
Premera BCBS Setting Facility Modifier None Typical Low $239.88 Median $426.58 Typical High $724.44 | Facility | None | $239.88 | $426.58 | $724.44 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $660.69 | Facility | None | $239.88 | $398.11 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | None | $204.17 | $239.88 | $288.40 |
United Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $288.40 | Facility | None | $239.88 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | None | $102.33 | $102.33 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $436.52 | Professional | None | $109.65 | $239.88 | $436.52 |
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 $114.82 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $45.71 | $51.29 |
Where Washington sits
The same service costs 5.1 times more in Texas than in Oklahoma. 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· 19th of 51
$269
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.