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 $69.18 Median $69.18 Typical High $223.87 | Facility | None | $69.18 | $69.18 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | None | $69.18 | $69.18 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $97.72 Typical High $199.53 | Facility | None | $54.95 | $97.72 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $363.08 Typical High $549.54 | Professional | None | $61.66 | $363.08 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $194.98 | Facility | None | $107.15 | $117.49 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $74.13 Typical High $100.00 | Professional | None | $38.02 | $74.13 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $181.97 | Professional | None | $58.88 | $85.11 | $181.97 |
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 $74.13 Median $81.28 Typical High $162.18 | Facility | None | $74.13 | $81.28 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $218.78 | Facility | None | $74.13 | $128.82 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $199.53 | Facility | None | $74.13 | $112.20 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | None | $61.66 | $74.13 | $87.10 |
United Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $87.10 | Facility | None | $74.13 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $75.86 | Professional | None | $30.90 | $30.90 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $33.11 Median $74.13 Typical High $131.83 | Professional | None | $33.11 | $74.13 | $131.83 |
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 $34.67 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.13 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 20th of 51
$75.86
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.