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 $245.47 Median $245.47 Typical High $371.54 | Facility | None | $245.47 | $245.47 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $245.47 Typical High $363.08 | Professional | None | $239.88 | $245.47 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $724.44 | Facility | None | $194.98 | $363.08 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $223.87 Median $1,318.26 Typical High $1,995.26 | Professional | None | $223.87 | $1,318.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $691.83 | Facility | None | $275.42 | $426.58 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $354.81 | Professional | None | $131.83 | $263.03 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $660.69 | Professional | None | $208.93 | $309.03 | $660.69 |
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 $263.03 Median $295.12 Typical High $575.44 | Facility | None | $263.03 | $295.12 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $794.33 | Facility | None | $288.40 | $457.09 | $794.33 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None | $234.42 | $234.42 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $724.44 | Facility | None | $263.03 | $416.87 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $295.12 | Professional | None | $223.87 | $251.19 | $295.12 |
United Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $316.23 | Facility | None | $263.03 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $288.40 | Professional | None | $109.65 | $109.65 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $263.03 Typical High $478.63 | Professional | None | $117.49 | $263.03 | $478.63 |
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 $123.03 Median $123.03 Typical High $128.82 | Professional | 52 · Reduced service | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | 53 · Discontinued | $48.98 | $48.98 | $51.29 |
Where Washington sits
The same service costs 4.5 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· 21st of 51
$275
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.