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 $794.33 Median $794.33 Typical High $2,570.40 | Facility | None | $794.33 | $794.33 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | None | $794.33 | $794.33 | $812.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $2,290.87 | Facility | None | $630.96 | $933.25 | $2,290.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $4,168.69 Typical High $6,309.57 | Professional | None | $707.95 | $4,168.69 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,230.27 Typical High $2,137.96 | Facility | None | $851.14 | $1,230.27 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $891.25 Typical High $1,148.15 | Professional | None | $426.58 | $891.25 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $2,089.30 | Professional | None | $676.08 | $977.24 | $2,089.30 |
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 $831.76 Median $954.99 Typical High $1,698.24 | Facility | None | $831.76 | $954.99 | $1,698.24 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,479.11 Typical High $2,511.89 | Facility | None | $831.76 | $1,479.11 | $2,511.89 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,000.00 | Professional | None | $660.69 | $758.58 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,290.87 | Facility | None | $831.76 | $1,318.26 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $933.25 | Professional | None | $676.08 | $758.58 | $933.25 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Facility | None | $831.76 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $831.76 | Professional | None | $245.47 | $354.81 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $831.76 Typical High $1,513.56 | Professional | None | $380.19 | $831.76 | $1,513.56 |
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 $398.11 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $158.49 | $158.49 | $162.18 |
Where Washington sits
The same service costs 5.4 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· 18th of 51
$832
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.