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 $77.62 Median $77.62 Typical High $257.04 | Facility | None | $77.62 | $77.62 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $229.09 | Facility | None | $61.66 | $107.15 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $416.87 Typical High $616.60 | Professional | None | $70.79 | $416.87 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $213.80 | Facility | None | $120.23 | $134.90 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $112.20 | Professional | None | $41.69 | $87.10 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $208.93 | Professional | None | $66.07 | $97.72 | $208.93 |
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 $83.18 Median $83.18 Typical High $165.96 | Facility | None | $83.18 | $83.18 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $251.19 | Facility | None | $93.33 | $144.54 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $229.09 | Facility | None | $83.18 | $128.82 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | None | $70.79 | $74.13 | $93.33 |
United Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $100.00 | Facility | None | $83.18 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $93.33 | Professional | None | $34.67 | $34.67 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $83.18 Typical High $147.91 | Professional | None | $37.15 | $83.18 | $147.91 |
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 $38.90 Median $38.90 Typical High $53.70 | Professional | 52 · Reduced service | $38.90 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | 53 · Discontinued | $15.49 | $15.49 | $21.38 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 21st of 51
$87.10
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.