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 $524.81 Median $524.81 Typical High $1,698.24 | Facility | None | $524.81 | $524.81 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $870.96 | Professional | None | $524.81 | $524.81 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $1,513.56 | Facility | None | $416.87 | $724.44 | $1,513.56 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $2,754.23 Typical High $4,168.69 | Professional | None | $467.74 | $2,754.23 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,445.44 | Facility | None | $575.44 | $891.25 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $758.58 | Professional | None | $281.84 | $588.84 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $1,380.38 | Professional | None | $446.68 | $645.65 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $446.68 Typical High $794.33 | Professional | None | $75.86 | $446.68 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Facility | None | $562.34 | $562.34 | $1,122.02 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,659.59 | Facility | None | $630.96 | $977.24 | $1,659.59 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | None | $501.19 | $501.19 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,513.56 | Facility | None | $562.34 | $870.96 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $660.69 | Professional | None | $467.74 | $562.34 | $660.69 |
United Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $660.69 | Facility | None | $562.34 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $616.60 | Professional | None | $234.42 | $234.42 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $562.34 Typical High $1,000.00 | Professional | None | $251.19 | $562.34 | $1,000.00 |
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 $263.03 Median $263.03 Typical High $389.05 | Professional | 52 · Reduced service | $263.03 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | 53 · Discontinued | $104.71 | $104.71 | $158.49 |
Where Washington sits
The same service costs 4.6 times more in Kansas 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· 18th of 51
$589
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.