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 $87.10 Median $87.10 Typical High $141.25 | Facility | None | $87.10 | $87.10 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $128.82 | Professional | None | $61.66 | $87.10 | $128.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $251.19 | Facility | None | $69.18 | $120.23 | $251.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $77.62 Median $457.09 Typical High $691.83 | Professional | None | $77.62 | $457.09 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $186.21 Typical High $295.12 | Facility | None | $134.90 | $186.21 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $125.89 | Professional | None | $57.54 | $97.72 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $229.09 | Professional | None | $74.13 | $107.15 | $229.09 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $81.28 | Professional | None | $74.13 | $75.86 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $91.20 Median $95.50 Typical High $186.21 | Facility | None | $91.20 | $95.50 | $186.21 |
Premera BCBS Setting Facility Modifier None Typical Low $91.20 Median $162.18 Typical High $251.19 | Facility | None | $91.20 | $162.18 | $251.19 |
Premera BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None | $83.18 | $83.18 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $251.19 | Facility | None | $91.20 | $151.36 | $251.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $107.15 | Professional | None | $77.62 | $91.20 | $107.15 |
United Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $109.65 | Facility | None | $91.20 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $102.33 | Professional | None | $38.90 | $38.90 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $91.20 Typical High $165.96 | Professional | None | $41.69 | $91.20 | $165.96 |
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 $42.66 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $42.66 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.78 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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· 22nd of 51
$97.72
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.