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 $288.40 Median $288.40 Typical High $933.25 | Facility | None | $288.40 | $288.40 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | None | $288.40 | $288.40 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $831.76 | Facility | None | $229.09 | $398.11 | $831.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $1,513.56 Typical High $2,290.87 | Professional | None | $257.04 | $1,513.56 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $489.78 Typical High $794.33 | Facility | None | $446.68 | $489.78 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $416.87 | Professional | None | $154.88 | $323.59 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $758.58 | Professional | None | $245.47 | $354.81 | $758.58 |
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 $302.00 Median $302.00 Typical High $676.08 | Facility | None | $302.00 | $302.00 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $912.01 | Facility | None | $302.00 | $537.03 | $912.01 |
Premera BCBS Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $363.08 | Professional | None | $275.42 | $275.42 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $831.76 | Facility | None | $302.00 | $478.63 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $363.08 | Professional | None | $257.04 | $302.00 | $363.08 |
United Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $363.08 | Facility | None | $302.00 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $302.00 | Professional | None | $128.82 | $128.82 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $549.54 | Professional | None | $138.04 | $302.00 | $549.54 |
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 $144.54 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $57.54 | $58.88 |
Where Washington sits
The same service costs 5.5 times more in Texas 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· 15th of 51
$324
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.