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 $1,995.26 Median $1,995.26 Typical High $6,606.93 | Facility | None | $1,995.26 | $1,995.26 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,995.26 | $1,995.26 | $3,019.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,621.81 | $2,344.23 | $5,888.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $10,715.19 Typical High $16,218.10 | Professional | None | $1,819.70 | $10,715.19 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $5,495.41 | Facility | None | $3,162.28 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,071.52 | $2,290.87 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $5,370.32 | Professional | None | $1,698.24 | $2,511.89 | $5,370.32 |
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 $2,137.96 Median $2,398.83 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,398.83 | $4,265.80 |
Pacific Source Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Premera BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,137.96 | $3,715.35 | $6,456.54 |
Premera BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,949.84 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $5,888.44 | Facility | None | $2,137.96 | $3,388.44 | $5,888.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,905.46 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,137.96 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $251.19 Median $891.25 Typical High $2,137.96 | Professional | None | $251.19 | $891.25 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $954.99 Median $2,137.96 Typical High $3,890.45 | Professional | None | $954.99 | $2,137.96 | $3,890.45 |
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 $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | 53 · Discontinued | $407.38 | $407.38 | $416.87 |
Where Washington sits
The same service costs 6.0 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· 19th of 51
$2,138
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.