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 $257.04 Median $257.04 Typical High $851.14 | Facility | None | $257.04 | $257.04 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | None | $257.04 | $257.04 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $758.58 | Facility | None | $204.17 | $354.81 | $758.58 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $234.42 Median $1,380.38 Typical High $2,041.74 | Professional | None | $234.42 | $1,380.38 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $691.83 | Facility | None | $398.11 | $588.84 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $371.54 | Professional | None | $138.04 | $288.40 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $691.83 | Professional | None | $218.78 | $323.59 | $691.83 |
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 $275.42 Median $309.03 Typical High $602.56 | Facility | None | $275.42 | $309.03 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $831.76 | Facility | None | $275.42 | $478.63 | $831.76 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Professional | None | $245.47 | $245.47 | $331.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $758.58 | Facility | None | $275.42 | $416.87 | $758.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | None | $234.42 | $245.47 | $309.03 |
United Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $331.13 | Facility | None | $275.42 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $275.42 | Professional | None | $114.82 | $114.82 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $275.42 Typical High $489.78 | Professional | None | $123.03 | $275.42 | $489.78 |
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 $128.82 Median $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $51.29 | $53.70 |
Where Washington sits
The same service costs 5.0 times more in Texas 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
$288
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.