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 $114.82 Median $114.82 Typical High $371.54 | Facility | None | $114.82 | $114.82 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | None | $114.82 | $114.82 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $331.13 | Facility | None | $91.20 | $165.96 | $331.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $602.56 Typical High $912.01 | Professional | None | $102.33 | $602.56 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $389.05 | Facility | None | $177.83 | $229.09 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $125.89 Typical High $165.96 | Professional | None | $75.86 | $125.89 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $302.00 | Professional | None | $107.15 | $151.36 | $302.00 |
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 $123.03 Median $123.03 Typical High $245.47 | Facility | None | $123.03 | $123.03 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $363.08 | Facility | None | $123.03 | $213.80 | $363.08 |
Premera BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $144.54 | Professional | None | $109.65 | $109.65 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $331.13 | Facility | None | $123.03 | $199.53 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $141.25 | Professional | None | $102.33 | $123.03 | $141.25 |
United Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Facility | None | $123.03 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $134.90 | Professional | None | $51.29 | $51.29 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $218.78 | Professional | None | $54.95 | $123.03 | $218.78 |
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 $57.54 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $22.91 | $28.18 |
Where Washington sits
The same service costs 4.4 times more in Alaska 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· 25th of 51
$135
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.