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 $4,466.84 Median $4,466.84 Typical High $14,791.08 | Facility | None | $4,466.84 | $4,466.84 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,677.35 | Professional | None | $3,801.89 | $4,466.84 | $4,677.35 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $13,182.57 | Facility | None | $3,548.13 | $5,248.07 | $13,182.57 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,073.80 Median $23,988.33 Typical High $35,481.34 | Professional | None | $4,073.80 | $23,988.33 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $7,079.46 Typical High $12,022.64 | Facility | None | $4,073.80 | $7,079.46 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $5,011.87 Typical High $6,456.54 | Professional | None | $2,398.83 | $5,011.87 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $12,022.64 | Professional | None | $3,801.89 | $5,623.41 | $12,022.64 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $4,570.88 | Professional | None | $758.58 | $1,047.13 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $9,549.93 | Facility | None | $4,786.30 | $5,370.32 | $9,549.93 |
Premera BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,317.64 Typical High $14,454.40 | Facility | None | $4,786.30 | $8,317.64 | $14,454.40 |
Premera BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $5,754.40 | Professional | None | $4,073.80 | $4,265.80 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,585.78 | $13,182.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $5,370.32 | Professional | None | $3,890.45 | $4,265.80 | $5,370.32 |
United Setting Facility Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $5,754.40 | Facility | None | $4,786.30 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $4,786.30 | Professional | None | $1,995.26 | $1,995.26 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $8,511.38 | Professional | None | $2,137.96 | $4,786.30 | $8,511.38 |
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 $2,238.72 Median $2,238.72 Typical High $2,344.23 | Professional | 52 · Reduced service | $2,238.72 | $2,238.72 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 53 · Discontinued | $891.25 | $891.25 | $933.25 |
Where Washington sits
The same service costs 10.7 times more in Alaska than in Kentucky. 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
$4,786
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.