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 $208.93 Median $208.93 Typical High $676.08 | Facility | None | $208.93 | $208.93 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | None | $208.93 | $208.93 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $602.56 | Facility | None | $165.96 | $288.40 | $602.56 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $186.21 Median $1,096.48 Typical High $1,659.59 | Professional | None | $186.21 | $1,096.48 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $707.95 | Facility | None | $229.09 | $398.11 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $234.42 Typical High $302.00 | Professional | None | $138.04 | $234.42 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $549.54 | Professional | None | $177.83 | $257.04 | $549.54 |
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 $218.78 Median $234.42 Typical High $446.68 | Facility | None | $218.78 | $234.42 | $446.68 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $389.05 Typical High $602.56 | Facility | None | $218.78 | $389.05 | $602.56 |
Premera BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | None | $199.53 | $199.53 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $602.56 | Facility | None | $218.78 | $363.08 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $257.04 | Professional | None | $186.21 | $218.78 | $257.04 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $263.03 | Facility | None | $218.78 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $245.47 | Professional | None | $93.33 | $93.33 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $218.78 Typical High $398.11 | Professional | None | $100.00 | $218.78 | $398.11 |
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 $104.71 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $41.69 | $41.69 | $42.66 |
Where Washington sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$234
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.