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 $707.95 Median $707.95 Typical High $1,174.90 | Facility | None | $707.95 | $707.95 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $912.01 | Professional | None | $549.54 | $707.95 | $912.01 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $2,089.30 | Facility | None | $575.44 | $831.76 | $2,089.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $3,801.89 Typical High $5,754.40 | Professional | None | $645.65 | $3,801.89 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,949.84 | Facility | None | $707.95 | $1,122.02 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $794.33 Typical High $1,047.13 | Professional | None | $380.19 | $794.33 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,905.46 | Professional | None | $602.56 | $891.25 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $794.33 | Professional | None | $489.78 | $660.69 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,513.56 | Facility | None | $758.58 | $912.01 | $1,513.56 |
Premera BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,290.87 | Facility | None | $794.33 | $1,318.26 | $2,290.87 |
Premera BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,089.30 | Facility | None | $758.58 | $1,202.26 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $851.14 | Professional | None | $616.60 | $676.08 | $851.14 |
United Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $912.01 | Facility | None | $758.58 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $831.76 | Professional | None | $316.23 | $316.23 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $338.84 Median $758.58 Typical High $1,380.38 | Professional | None | $338.84 | $758.58 | $1,380.38 |
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 $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $141.25 | $141.25 | $147.91 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Maine. 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
$759
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.