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 $194.98 Median $194.98 Typical High $630.96 | Facility | None | $194.98 | $194.98 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | None | $194.98 | $194.98 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $154.88 Median $269.15 Typical High $575.44 | Facility | None | $154.88 | $269.15 | $575.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $177.83 Median $1,023.29 Typical High $1,548.82 | Professional | None | $177.83 | $1,023.29 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $524.81 | Facility | None | $302.00 | $436.52 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $281.84 | Professional | None | $107.15 | $213.80 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $512.86 | Professional | None | $165.96 | $239.88 | $512.86 |
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 $208.93 Median $208.93 Typical High $457.09 | Facility | None | $208.93 | $208.93 | $457.09 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $616.60 | Facility | None | $208.93 | $363.08 | $616.60 |
Premera BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $251.19 | Professional | None | $186.21 | $186.21 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $575.44 | Facility | None | $208.93 | $309.03 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $234.42 | Professional | None | $177.83 | $186.21 | $234.42 |
United Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $251.19 | Facility | None | $208.93 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $229.09 | Professional | None | $87.10 | $87.10 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $208.93 Typical High $371.54 | Professional | None | $93.33 | $208.93 | $371.54 |
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 $97.72 Median $97.72 Typical High $100.00 | Professional | 52 · Reduced service | $97.72 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $38.90 | $39.81 |
Where Washington sits
The same service costs 4.3 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
$214
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.