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 $288.40 Median $288.40 Typical High $954.99 | Facility | None | $288.40 | $288.40 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $302.00 | Professional | None | $245.47 | $288.40 | $302.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $851.14 | Facility | None | $229.09 | $398.11 | $851.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $1,548.82 Typical High $2,290.87 | Professional | None | $263.03 | $1,548.82 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $794.33 | Facility | None | $323.59 | $501.19 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $416.87 | Professional | None | $154.88 | $323.59 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $776.25 | Professional | None | $245.47 | $363.08 | $776.25 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $416.87 | Professional | None | $245.47 | $245.47 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $616.60 | Facility | None | $309.03 | $323.59 | $616.60 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $851.14 | Facility | None | $302.00 | $537.03 | $851.14 |
Premera BCBS Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $851.14 | Facility | None | $309.03 | $478.63 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $346.74 | Professional | None | $251.19 | $275.42 | $346.74 |
United Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $371.54 | Facility | None | $309.03 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $309.03 | Professional | None | $67.61 | $128.82 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $309.03 Typical High $549.54 | Professional | None | $138.04 | $309.03 | $549.54 |
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 $144.54 Median $144.54 Typical High $147.91 | Professional | 52 · Reduced service | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | 53 · Discontinued | $57.54 | $57.54 | $60.26 |
Where Washington sits
The same service costs 5.9 times more in Texas 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· 15th of 51
$309
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.