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 $549.54 Median $549.54 Typical High $1,778.28 | Facility | None | $549.54 | $549.54 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $776.25 | Professional | None | $549.54 | $549.54 | $776.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,096.48 Median $6,456.54 Typical High $9,772.37 | Professional | None | $1,096.48 | $6,456.54 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,513.56 | Facility | None | $812.83 | $1,071.52 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $1,513.56 | Professional | None | $363.08 | $616.60 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $3,235.94 | Professional | None | $724.44 | $1,445.44 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Professional | None | $831.76 | $1,148.15 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,445.44 | Facility | None | $588.84 | $1,174.90 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $2,630.27 | Facility | None | $588.84 | $1,548.82 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,202.26 | Professional | None | $524.81 | $524.81 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,778.28 | Facility | None | $707.95 | $1,174.90 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,174.90 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,318.26 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $912.01 | Professional | None | $245.47 | $331.13 | $912.01 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $1,318.26 Typical High $2,344.23 | Professional | None | $588.84 | $1,318.26 | $2,344.23 |
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 $275.42 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $109.65 | $109.65 | $112.20 |
Where Washington sits
The same service costs 4.0 times more in Wisconsin 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· 11th of 51
$1,096
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.