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 $1,258.93 Median $1,258.93 Typical High $4,168.69 | Facility | None | $1,258.93 | $1,258.93 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,258.93 | $1,258.93 | $1,318.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $3,715.35 | Facility | None | $1,023.29 | $1,479.11 | $3,715.35 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,148.15 Median $6,760.83 Typical High $10,232.93 | Professional | None | $1,148.15 | $6,760.83 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,467.37 | Facility | None | $1,995.26 | $2,511.89 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $1,862.09 | Professional | None | $676.08 | $1,412.54 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $3,388.44 | Professional | None | $1,071.52 | $1,584.89 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,174.90 | Professional | None | $870.96 | $1,174.90 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,513.56 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $4,073.80 | Facility | None | $1,348.96 | $2,344.23 | $4,073.80 |
Premera BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,202.26 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $3,715.35 | Facility | None | $1,348.96 | $2,137.96 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,202.26 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,348.96 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,348.96 | Professional | None | $562.34 | $562.34 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $1,348.96 Typical High $2,454.71 | Professional | None | $602.56 | $1,348.96 | $2,454.71 |
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 $630.96 Median $630.96 Typical High $660.69 | Professional | 52 · Reduced service | $630.96 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 53 · Discontinued | $251.19 | $251.19 | $263.03 |
Where Washington sits
The same service costs 5.1 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· 18th of 51
$1,349
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.