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 $302.00 Median $302.00 Typical High $1,000.00 | Facility | None | $302.00 | $302.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $446.68 | Professional | None | $269.15 | $302.00 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $245.47 Median $426.58 Typical High $891.25 | Facility | None | $245.47 | $426.58 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $275.42 Median $1,621.81 Typical High $2,454.71 | Professional | None | $275.42 | $1,621.81 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $870.96 | Facility | None | $478.63 | $660.69 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $446.68 | Professional | None | $162.18 | $331.13 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $812.83 | Professional | None | $257.04 | $380.19 | $812.83 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $257.04 Typical High $436.52 | Professional | None | $75.86 | $257.04 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $660.69 | Facility | None | $323.59 | $323.59 | $660.69 |
Pacific Source Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $977.24 | Facility | None | $323.59 | $562.34 | $977.24 |
Premera BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None | $295.12 | $295.12 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $891.25 | Facility | None | $323.59 | $489.78 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $389.05 | Professional | None | $275.42 | $323.59 | $389.05 |
United Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $389.05 | Facility | None | $323.59 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $354.81 | Professional | None | $134.90 | $134.90 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $588.84 | Professional | None | $144.54 | $323.59 | $588.84 |
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 $151.36 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $61.66 | $61.66 | $63.10 |
Where Washington sits
The same service costs 4.2 times more in Alaska 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· 21st of 51
$331
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.