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 $95.50 Median $95.50 Typical High $316.23 | Facility | None | $95.50 | $95.50 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | None | $95.50 | $95.50 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $131.83 Typical High $281.84 | Facility | None | $75.86 | $131.83 | $281.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $87.10 Median $512.86 Typical High $758.58 | Professional | None | $87.10 | $512.86 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $263.03 | Facility | None | $147.91 | $199.53 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $107.15 Typical High $138.04 | Professional | None | $51.29 | $107.15 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $257.04 | Professional | None | $81.28 | $120.23 | $257.04 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | None | $75.86 | $81.28 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $223.87 | Facility | None | $102.33 | $114.82 | $223.87 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $346.74 | Facility | None | $114.82 | $177.83 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $281.84 | Facility | None | $102.33 | $162.18 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $123.03 | Professional | None | $87.10 | $102.33 | $123.03 |
United Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $123.03 | Facility | None | $102.33 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $114.82 | Professional | None | $42.66 | $42.66 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $102.33 Typical High $181.97 | Professional | None | $45.71 | $102.33 | $181.97 |
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 $47.86 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 53 · Discontinued | $19.05 | $19.05 | $25.70 |
Where Washington sits
The same service costs 3.7 times more in Kansas 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· 23rd of 51
$107
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.