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 $186.21 Median $186.21 Typical High $616.60 | Facility | None | $186.21 | $186.21 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $281.84 | Professional | None | $186.21 | $186.21 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $257.04 Typical High $549.54 | Facility | None | $151.36 | $257.04 | $549.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $169.82 Median $1,000.00 Typical High $1,513.56 | Professional | None | $169.82 | $1,000.00 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $524.81 | Facility | None | $208.93 | $323.59 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $275.42 | Professional | None | $102.33 | $213.80 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $501.19 | Professional | None | $158.49 | $234.42 | $501.19 |
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 $199.53 Median $223.87 Typical High $436.52 | Facility | None | $199.53 | $223.87 | $436.52 |
Pacific Source Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None | $181.97 | $181.97 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $602.56 | Facility | None | $223.87 | $354.81 | $602.56 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $549.54 | Facility | None | $199.53 | $316.23 | $549.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $239.88 | Professional | None | $169.82 | $199.53 | $239.88 |
United Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $199.53 | Professional | None | $83.18 | $83.18 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $199.53 Typical High $363.08 | Professional | None | $89.13 | $199.53 | $363.08 |
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 $93.33 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | 53 · Discontinued | $38.02 | $38.02 | $56.23 |
Where Washington sits
The same service costs 3.8 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· 21st 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.