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 $120.23 Median $120.23 Typical High $389.05 | Facility | None | $120.23 | $120.23 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None | $120.23 | $120.23 | $162.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $346.74 | Facility | None | $95.50 | $165.96 | $346.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $630.96 Typical High $954.99 | Professional | None | $107.15 | $630.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $204.17 Typical High $354.81 | Facility | None | $186.21 | $204.17 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $173.78 | Professional | None | $69.18 | $134.90 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $316.23 | Professional | None | $102.33 | $147.91 | $316.23 |
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 $128.82 Median $128.82 Typical High $257.04 | Facility | None | $128.82 | $128.82 | $257.04 |
Pacific Source Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $346.74 | Facility | None | $144.54 | $229.09 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | None | $114.82 | $114.82 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $346.74 | Facility | None | $128.82 | $199.53 | $346.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $141.25 | Professional | None | $107.15 | $128.82 | $141.25 |
United Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $151.36 | Facility | None | $128.82 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | None | $53.70 | $53.70 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $128.82 Typical High $229.09 | Professional | None | $57.54 | $128.82 | $229.09 |
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 $60.26 Median $60.26 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $23.99 | $32.36 |
Where Washington sits
The same service costs 4.6 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· 25th of 51
$135
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.