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 $89.13 Median $89.13 Typical High $147.91 | Facility | None | $89.13 | $89.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $100.00 | Professional | None | $87.10 | $89.13 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $263.03 | Facility | None | $70.79 | $123.03 | $263.03 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $478.63 Typical High $707.95 | Professional | None | $81.28 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $295.12 | Facility | None | $97.72 | $165.96 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $100.00 Typical High $128.82 | Professional | None | $57.54 | $100.00 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $234.42 | Professional | None | $75.86 | $109.65 | $234.42 |
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 $95.50 Median $95.50 Typical High $190.55 | Facility | None | $95.50 | $95.50 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $263.03 | Facility | None | $107.15 | $165.96 | $263.03 |
Premera BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $263.03 | Facility | None | $95.50 | $151.36 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
United Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $114.82 | Facility | None | $95.50 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $107.15 | Professional | None | $39.81 | $39.81 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $95.50 Typical High $169.82 | Professional | None | $42.66 | $95.50 | $169.82 |
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 $44.67 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.20 |
Where Washington sits
The same service costs 3.5 times more in Kansas 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· 23rd of 51
$100
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.