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 $275.42 Median $275.42 Typical High $891.25 | Facility | None | $275.42 | $275.42 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $794.33 | Facility | None | $218.78 | $380.19 | $794.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $1,445.44 Typical High $2,187.76 | Professional | None | $245.47 | $1,445.44 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $741.31 | Facility | None | $426.58 | $616.60 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $398.11 | Professional | None | $147.91 | $302.00 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $724.44 | Professional | None | $234.42 | $338.84 | $724.44 |
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 $288.40 Median $309.03 Typical High $588.84 | Facility | None | $288.40 | $309.03 | $588.84 |
Pacific Source Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $512.86 Typical High $870.96 | Facility | None | $288.40 | $512.86 | $870.96 |
Premera BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $346.74 | Professional | None | $263.03 | $263.03 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $794.33 | Facility | None | $288.40 | $436.52 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $323.59 | Professional | None | $245.47 | $263.03 | $323.59 |
United Setting Facility Modifier None Typical Low $288.40 Median $346.74 Typical High $346.74 | Facility | None | $288.40 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | None | $123.03 | $123.03 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $524.81 | Professional | None | $131.83 | $288.40 | $524.81 |
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 $138.04 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $56.23 |
Where Washington sits
The same service costs 4.5 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· 20th of 51
$295
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.