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 $416.87 Median $416.87 Typical High $1,348.96 | Facility | None | $416.87 | $416.87 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | None | $416.87 | $416.87 | $616.60 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,698.24 | Facility | None | $645.65 | $1,000.00 | $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 $602.56 Median $794.33 Typical High $1,122.02 | Facility | None | $602.56 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $467.74 Typical High $1,513.56 | Professional | None | $275.42 | $467.74 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,445.44 Typical High $3,235.94 | Professional | None | $616.60 | $1,445.44 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $1,445.44 | Facility | None | $436.52 | $891.25 | $1,445.44 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $1,202.26 Typical High $2,630.27 | Facility | None | $436.52 | $1,202.26 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,202.26 | Professional | None | $398.11 | $398.11 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $870.96 Typical High $1,778.28 | Facility | None | $524.81 | $870.96 | $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 $186.21 Median $251.19 Typical High $851.14 | Professional | None | $186.21 | $251.19 | $851.14 |
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 $204.17 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Where Washington sits
The same service costs 5.2 times more in North Dakota 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· 7th of 51
$1,047
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.