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 $128.82 Median $128.82 Typical High $416.87 | Facility | None | $128.82 | $128.82 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $131.83 | Professional | None | $117.49 | $128.82 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $380.19 | Facility | None | $102.33 | $177.83 | $380.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $117.49 Median $691.83 Typical High $1,023.29 | Professional | None | $117.49 | $691.83 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $346.74 | Facility | None | $177.83 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $186.21 | Professional | None | $69.18 | $141.25 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $338.84 | Professional | None | $109.65 | $158.49 | $338.84 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $120.23 | Professional | None | $75.86 | $109.65 | $120.23 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $144.54 Typical High $275.42 | Facility | None | $138.04 | $144.54 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $407.38 | Facility | None | $138.04 | $239.88 | $407.38 |
Premera BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $165.96 | Professional | None | $123.03 | $123.03 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $380.19 | Facility | None | $138.04 | $204.17 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $154.88 | Professional | None | $117.49 | $123.03 | $154.88 |
United Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $165.96 | Facility | None | $138.04 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $138.04 | Professional | None | $57.54 | $57.54 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $138.04 Typical High $245.47 | Professional | None | $61.66 | $138.04 | $245.47 |
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 $64.57 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $25.70 | $25.70 | $26.30 |
Where Washington sits
The same service costs 5.5 times more in Texas 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
$138
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.