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 $112.20 Median $112.20 Typical High $371.54 | Facility | None | $112.20 | $112.20 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $89.13 Median $154.88 Typical High $331.13 | Facility | None | $89.13 | $154.88 | $331.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $602.56 Typical High $891.25 | Professional | None | $102.33 | $602.56 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $309.03 | Facility | None | $173.78 | $194.98 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $162.18 | Professional | None | $60.26 | $125.89 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $302.00 | Professional | None | $95.50 | $141.25 | $302.00 |
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 $120.23 Median $120.23 Typical High $239.88 | Facility | None | $120.23 | $120.23 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $363.08 | Facility | None | $120.23 | $208.93 | $363.08 |
Premera BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $331.13 | Facility | None | $120.23 | $190.55 | $331.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | None | $102.33 | $120.23 | $144.54 |
United Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $144.54 | Facility | None | $120.23 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $120.23 | Professional | None | $50.12 | $50.12 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $120.23 Typical High $213.80 | Professional | None | $53.70 | $120.23 | $213.80 |
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 $56.23 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.99 |
Where Washington sits
The same service costs 5.9 times more in Texas than in Alabama. 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
$126
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.