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 $2,951.21 Median $2,951.21 Typical High $9,549.93 | Facility | None | $2,951.21 | $2,951.21 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,951.21 | $2,951.21 | $3,019.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $8,511.38 | Facility | None | $2,344.23 | $4,073.80 | $8,511.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,630.27 Median $15,488.17 Typical High $23,442.29 | Professional | None | $2,630.27 | $15,488.17 | $23,442.29 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $8,128.31 | Facility | None | $4,570.88 | $5,011.87 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $3,311.31 Typical High $4,265.80 | Professional | None | $1,584.89 | $3,311.31 | $4,265.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $7,762.47 | Professional | None | $2,511.89 | $3,630.78 | $7,762.47 |
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 $2,818.38 Median $3,090.30 Typical High $6,309.57 | Facility | None | $2,818.38 | $3,090.30 | $6,309.57 |
Premera BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $5,495.41 Typical High $9,332.54 | Facility | None | $3,090.30 | $5,495.41 | $9,332.54 |
Premera BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,818.38 | $2,818.38 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,090.30 | $4,897.79 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,630.27 | $2,818.38 | $3,467.37 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,090.30 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,318.26 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,412.54 Median $3,090.30 Typical High $5,623.41 | Professional | None | $1,412.54 | $3,090.30 | $5,623.41 |
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 $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 53 · Discontinued | $588.84 | $588.84 | $602.56 |
Where Washington sits
The same service costs 6.0 times more in Texas than in Alabama. 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· 15th of 51
$3,236
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.