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 $870.96 Median $870.96 Typical High $2,884.03 | Facility | None | $870.96 | $870.96 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | None | $870.96 | $870.96 | $1,122.02 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $2,570.40 | Facility | None | $707.95 | $1,023.29 | $2,570.40 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $794.33 Median $4,677.35 Typical High $7,079.46 | Professional | None | $794.33 | $4,677.35 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,380.38 | $1,513.56 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,288.25 | Professional | None | $467.74 | $1,000.00 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $2,344.23 | Professional | None | $741.31 | $1,096.48 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $831.76 | Professional | None | $602.56 | $831.76 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,905.46 | Facility | None | $933.25 | $1,023.29 | $1,905.46 |
Pacific Source Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,818.38 | Facility | None | $933.25 | $1,621.81 | $2,818.38 |
Premera BCBS Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,122.02 | Professional | None | $794.33 | $851.14 | $1,122.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $2,570.40 | Facility | None | $933.25 | $1,479.11 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,047.13 | Professional | None | $758.58 | $851.14 | $1,047.13 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Facility | None | $933.25 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $933.25 | Professional | None | $389.05 | $389.05 | $933.25 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $933.25 Typical High $1,698.24 | Professional | None | $416.87 | $933.25 | $1,698.24 |
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 $436.52 Median $436.52 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $177.83 | $223.87 |
Where Washington sits
The same service costs 3.7 times more in Alaska 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· 22nd of 51
$933
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.