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 $489.78 Median $489.78 Typical High $1,584.89 | Facility | None | $489.78 | $489.78 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None | $489.78 | $489.78 | $501.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,445.44 | Facility | None | $389.05 | $676.08 | $1,445.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $2,570.40 Typical High $3,890.45 | Professional | None | $446.68 | $2,570.40 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,348.96 | Facility | None | $758.58 | $1,148.15 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $707.95 | Professional | None | $263.03 | $549.54 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,288.25 | Professional | None | $416.87 | $602.56 | $1,288.25 |
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 $524.81 Median $524.81 Typical High $1,047.13 | Facility | None | $524.81 | $524.81 | $1,047.13 |
Premera BCBS Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,548.82 | Facility | None | $524.81 | $912.01 | $1,548.82 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,445.44 | Facility | None | $524.81 | $812.83 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $630.96 | Professional | None | $446.68 | $524.81 | $630.96 |
United Setting Facility Modifier None Typical Low $524.81 Median $630.96 Typical High $630.96 | Facility | None | $524.81 | $630.96 | $630.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $524.81 | Professional | None | $218.78 | $218.78 | $524.81 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $524.81 Typical High $933.25 | Professional | None | $234.42 | $524.81 | $933.25 |
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 $245.47 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $97.72 | $97.72 | $100.00 |
Where Washington sits
The same service costs 8.1 times more in Texas 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
$537
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.