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 $302.00 Median $302.00 Typical High $1,000.00 | Facility | None | $302.00 | $302.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None | $302.00 | $302.00 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $239.88 Median $354.81 Typical High $891.25 | Facility | None | $239.88 | $354.81 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $323.59 | Professional | None | $239.88 | $288.40 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $1,047.13 | Facility | None | $338.84 | $588.84 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $338.84 Typical High $436.52 | Professional | None | $199.53 | $338.84 | $436.52 |
Molina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $645.65 | Facility | None | $323.59 | $389.05 | $645.65 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $891.25 | Facility | None | $323.59 | $562.34 | $891.25 |
Premera BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $891.25 | Facility | None | $323.59 | $537.03 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $323.59 | Professional | None | $239.88 | $288.40 | $323.59 |
United Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $389.05 | Facility | None | $323.59 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $363.08 | Professional | None | $134.90 | $144.54 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $575.44 | Professional | None | $144.54 | $323.59 | $575.44 |
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 $151.36 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $60.26 | $63.10 |
Where Washington sits
The same service costs 5.4 times more in Alaska 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· 29th of 51
$302
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.