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 $190.55 Median $190.55 Typical High $630.96 | Facility | None | $190.55 | $190.55 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $199.53 | Professional | None | $177.83 | $190.55 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $562.34 | Facility | None | $151.36 | $263.03 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $173.78 Median $1,023.29 Typical High $1,513.56 | Professional | None | $173.78 | $1,023.29 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $524.81 | Facility | None | $213.80 | $331.13 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $275.42 | Professional | None | $102.33 | $213.80 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $512.86 | Professional | None | $162.18 | $239.88 | $512.86 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $162.18 Typical High $177.83 | Professional | None | $75.86 | $162.18 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $407.38 | Facility | None | $204.17 | $204.17 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $562.34 | Facility | None | $204.17 | $354.81 | $562.34 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $562.34 | Facility | None | $204.17 | $316.23 | $562.34 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $229.09 | Professional | None | $173.78 | $190.55 | $229.09 |
United Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $245.47 | Facility | None | $204.17 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $223.87 | Professional | None | $85.11 | $85.11 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $363.08 | Professional | None | $91.20 | $204.17 | $363.08 |
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 $95.50 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $38.02 | $38.02 | $39.81 |
Where Washington sits
The same service costs 3.8 times more in Texas than in Nebraska. 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· 21st of 51
$214
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.