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 $478.63 Median $478.63 Typical High $1,548.82 | Facility | None | $478.63 | $478.63 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | None | $478.63 | $478.63 | $489.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $1,380.38 | Facility | None | $380.19 | $549.54 | $1,380.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $426.58 Median $2,511.89 Typical High $3,801.89 | Professional | None | $426.58 | $2,511.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $933.25 Typical High $1,318.26 | Facility | None | $741.31 | $933.25 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $537.03 Typical High $691.83 | Professional | None | $257.04 | $537.03 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,258.93 | Professional | None | $407.38 | $588.84 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $446.68 | Professional | None | $323.59 | $446.68 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $1,023.29 | Facility | None | $501.19 | $575.44 | $1,023.29 |
Premera BCBS Setting Facility Modifier None Typical Low $501.19 Median $891.25 Typical High $1,513.56 | Facility | None | $501.19 | $891.25 | $1,513.56 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $602.56 | Professional | None | $426.58 | $457.09 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $1,380.38 | Facility | None | $501.19 | $794.33 | $1,380.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $562.34 | Professional | None | $407.38 | $457.09 | $562.34 |
United Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $602.56 | Facility | None | $501.19 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $501.19 | Professional | None | $213.80 | $213.80 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $912.01 | Professional | None | $229.09 | $501.19 | $912.01 |
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 $234.42 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 53 · Discontinued | $95.50 | $95.50 | $97.72 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Georgia. 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
$501
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.