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 $181.97 Median $181.97 Typical High $588.84 | Facility | None | $181.97 | $181.97 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $186.21 | Professional | None | $158.49 | $181.97 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $537.03 | Facility | None | $144.54 | $251.19 | $537.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $977.24 Typical High $1,445.44 | Professional | None | $165.96 | $977.24 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $501.19 | Facility | None | $204.17 | $309.03 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $204.17 Typical High $263.03 | Professional | None | $97.72 | $204.17 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $478.63 | Professional | None | $154.88 | $223.87 | $478.63 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $169.82 | Professional | None | $75.86 | $154.88 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $426.58 | Facility | None | $194.98 | $218.78 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $537.03 | Facility | None | $194.98 | $338.84 | $537.03 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $537.03 | Facility | None | $194.98 | $302.00 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $218.78 | Professional | None | $165.96 | $173.78 | $218.78 |
United Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $234.42 | Facility | None | $194.98 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $199.53 | Professional | None | $81.28 | $81.28 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $194.98 Typical High $346.74 | Professional | None | $87.10 | $194.98 | $346.74 |
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 $91.20 Median $91.20 Typical High $93.33 | Professional | 52 · Reduced service | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $36.31 | $37.15 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 19th of 51
$204
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.