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 $239.88 Median $239.88 Typical High $794.33 | Facility | None | $239.88 | $239.88 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | None | $239.88 | $239.88 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $707.95 | Facility | None | $194.98 | $354.81 | $707.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $218.78 Median $1,862.09 Typical High $1,949.84 | Professional | None | $218.78 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $831.76 | Facility | None | $380.19 | $524.81 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $354.81 | Professional | None | $162.18 | $269.15 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $645.65 | Professional | None | $229.09 | $323.59 | $645.65 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $229.09 | Professional | None | $75.86 | $204.17 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $776.25 | Facility | None | $281.84 | $457.09 | $776.25 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None | $229.09 | $229.09 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $707.95 | Facility | None | $257.04 | $426.58 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $302.00 | Professional | None | $218.78 | $257.04 | $302.00 |
United Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $309.03 | Facility | None | $257.04 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $288.40 | Professional | None | $107.15 | $107.15 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $467.74 | Professional | None | $114.82 | $257.04 | $467.74 |
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 $120.23 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $120.23 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $47.86 | $47.86 | $61.66 |
Where Washington sits
The same service costs 3.7 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· 22nd of 51
$282
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.