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 $158.49 Median $158.49 Typical High $512.86 | Facility | None | $158.49 | $158.49 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $162.18 | Professional | None | $134.90 | $158.49 | $162.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $218.78 Typical High $467.74 | Facility | None | $125.89 | $218.78 | $467.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $851.14 Typical High $1,258.93 | Professional | None | $144.54 | $851.14 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $436.52 | Facility | None | $245.47 | $269.15 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $229.09 | Professional | None | $85.11 | $177.83 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $426.58 | Professional | None | $134.90 | $199.53 | $426.58 |
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 $169.82 Median $177.83 Typical High $338.84 | Facility | None | $169.82 | $177.83 | $338.84 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $295.12 Typical High $501.19 | Facility | None | $169.82 | $295.12 | $501.19 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | None | $151.36 | $151.36 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $467.74 | Facility | None | $169.82 | $263.03 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | None | $144.54 | $169.82 | $204.17 |
United Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $204.17 | Facility | None | $169.82 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | None | $70.79 | $70.79 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $169.82 Typical High $302.00 | Professional | None | $75.86 | $169.82 | $302.00 |
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 $79.43 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | 53 · Discontinued | $31.62 | $31.62 | $33.11 |
Where Washington sits
The same service costs 5.5 times more in Texas than in Connecticut. 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· 16th of 51
$174
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.