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 $467.74 Median $467.74 Typical High $1,548.82 | Facility | None | $467.74 | $467.74 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | None | $467.74 | $467.74 | $707.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $371.54 Median $645.65 Typical High $1,380.38 | Facility | None | $371.54 | $645.65 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $2,511.89 Typical High $3,715.35 | Professional | None | $426.58 | $2,511.89 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $1,288.25 | Facility | None | $724.44 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $676.08 | Professional | None | $251.19 | $524.81 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $1,258.93 | Professional | None | $398.11 | $588.84 | $1,258.93 |
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 $501.19 Median $524.81 Typical High $1,000.00 | Facility | None | $501.19 | $524.81 | $1,000.00 |
Premera BCBS 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 |
Premera BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $602.56 | Professional | None | $446.68 | $446.68 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,380.38 | Facility | None | $501.19 | $776.25 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $602.56 | Professional | None | $426.58 | $501.19 | $602.56 |
United Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $602.56 | Facility | None | $501.19 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $562.34 | Professional | None | $208.93 | $208.93 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $501.19 Typical High $891.25 | Professional | None | $223.87 | $501.19 | $891.25 |
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 $234.42 Median $234.42 Typical High $354.81 | Professional | 52 · Reduced service | $234.42 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | 53 · Discontinued | $93.33 | $93.33 | $141.25 |
Where Washington sits
The same service costs 3.8 times more in California 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· 23rd of 51
$525
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.