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 $61.66 Median $199.53 Typical High $295.12 | Facility | None | $61.66 | $199.53 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | None | $52.48 | $61.66 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $177.83 | Facility | None | $48.98 | $85.11 | $177.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $54.95 Median $323.59 Typical High $489.78 | Professional | None | $54.95 | $323.59 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $169.82 | Facility | None | $81.28 | $104.71 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $69.18 Typical High $89.13 | Professional | None | $33.11 | $69.18 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $162.18 | Professional | None | $52.48 | $75.86 | $162.18 |
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 $66.07 Median $66.07 Typical High $144.54 | Facility | None | $66.07 | $66.07 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $177.83 | Facility | None | $66.07 | $114.82 | $177.83 |
Premera BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | None | $58.88 | $58.88 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $177.83 | Facility | None | $66.07 | $102.33 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $72.44 | Professional | None | $52.48 | $58.88 | $72.44 |
United Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $77.62 | Facility | None | $66.07 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $66.07 | Professional | None | $25.12 | $27.54 | $66.07 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $66.07 Typical High $117.49 | Professional | None | $29.51 | $66.07 | $117.49 |
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 $30.90 Median $30.90 Typical High $38.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $15.49 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 18th of 51
$69.18
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.