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 $102.33 Median $102.33 Typical High $338.84 | Facility | None | $102.33 | $102.33 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $81.28 Median $141.25 Typical High $302.00 | Facility | None | $81.28 | $141.25 | $302.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $93.33 Median $549.54 Typical High $812.83 | Professional | None | $93.33 | $549.54 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $346.74 | Facility | None | $158.49 | $199.53 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $147.91 | Professional | None | $67.61 | $114.82 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $275.42 | Professional | None | $87.10 | $128.82 | $275.42 |
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 $109.65 Median $114.82 Typical High $218.78 | Facility | None | $109.65 | $114.82 | $218.78 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $302.00 | Facility | None | $123.03 | $190.55 | $302.00 |
Premera BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | None | $97.72 | $97.72 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $302.00 | Facility | None | $109.65 | $177.83 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $125.89 | Professional | None | $93.33 | $109.65 | $125.89 |
United Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $131.83 | Facility | None | $109.65 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $123.03 | Professional | None | $45.71 | $45.71 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $109.65 Typical High $194.98 | Professional | None | $48.98 | $109.65 | $194.98 |
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 $51.29 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $20.42 | $20.42 | $21.38 |
Where Washington sits
The same service costs 3.9 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· 23rd of 51
$115
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.