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 $416.87 Median $416.87 Typical High $1,348.96 | Facility | None | $416.87 | $416.87 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $426.58 | Professional | None | $346.74 | $416.87 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $1,202.26 | Facility | None | $331.13 | $575.44 | $1,202.26 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $2,187.76 Typical High $3,311.31 | Professional | None | $371.54 | $2,187.76 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $707.95 Typical High $1,148.15 | Facility | None | $457.09 | $707.95 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $602.56 | Professional | None | $223.87 | $467.74 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,096.48 | Professional | None | $354.81 | $512.86 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $588.84 | Professional | None | $354.81 | $354.81 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $891.25 | Facility | None | $436.52 | $436.52 | $891.25 |
Pacific Source Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $776.25 Typical High $1,202.26 | Facility | None | $436.52 | $776.25 | $1,202.26 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None | $398.11 | $398.11 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $1,202.26 | Facility | None | $436.52 | $691.83 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $489.78 | Professional | None | $354.81 | $398.11 | $489.78 |
United Setting Facility Modifier None Typical Low $436.52 Median $524.81 Typical High $524.81 | Facility | None | $436.52 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $74.13 Median $186.21 Typical High $436.52 | Professional | None | $74.13 | $186.21 | $436.52 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $436.52 Typical High $794.33 | Professional | None | $199.53 | $436.52 | $794.33 |
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 $208.93 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Where Washington sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 17th of 51
$437
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.