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 $117.49 Median $117.49 Typical High $194.98 | Facility | None | $117.49 | $117.49 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $173.78 | Professional | None | $104.71 | $117.49 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $93.33 Median $162.18 Typical High $346.74 | Facility | None | $93.33 | $162.18 | $346.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $630.96 Typical High $933.25 | Professional | None | $107.15 | $630.96 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $323.59 | Facility | None | $181.97 | $199.53 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $169.82 | Professional | None | $63.10 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $309.03 | Professional | None | $100.00 | $144.54 | $309.03 |
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 $125.89 Median $125.89 Typical High $251.19 | Facility | None | $125.89 | $125.89 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $218.78 Typical High $371.54 | Facility | None | $125.89 | $218.78 | $371.54 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $151.36 | Professional | None | $112.20 | $112.20 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $346.74 | Facility | None | $125.89 | $186.21 | $346.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | None | $107.15 | $112.20 | $141.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $151.36 | Facility | None | $125.89 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $141.25 | Professional | None | $52.48 | $52.48 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $125.89 Typical High $223.87 | Professional | None | $56.23 | $125.89 | $223.87 |
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 $58.88 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.99 |
Where Washington sits
The same service costs 4.5 times more in Alaska 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· 21st of 51
$129
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.