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 $380.19 Median $380.19 Typical High $1,230.27 | Facility | None | $380.19 | $380.19 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Professional | None | $380.19 | $380.19 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $302.00 Median $524.81 Typical High $1,096.48 | Facility | None | $302.00 | $524.81 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $1,995.26 Typical High $3,019.95 | Professional | None | $338.84 | $1,995.26 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $724.44 Typical High $1,288.25 | Facility | None | $588.84 | $724.44 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $549.54 | Professional | None | $251.19 | $426.58 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $1,000.00 | Professional | None | $323.59 | $467.74 | $1,000.00 |
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 $363.08 Median $446.68 Typical High $812.83 | Facility | None | $363.08 | $446.68 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $1,096.48 | Facility | None | $398.11 | $707.95 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | None | $363.08 | $363.08 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $1,096.48 | Facility | None | $398.11 | $660.69 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $467.74 | Professional | None | $338.84 | $398.11 | $467.74 |
United Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $478.63 | Facility | None | $398.11 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $446.68 | Professional | None | $169.82 | $169.82 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $398.11 Typical High $724.44 | Professional | None | $181.97 | $398.11 | $724.44 |
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 $190.55 Median $190.55 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $75.86 | $93.33 |
Where Washington sits
The same service costs 3.8 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
$447
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.