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 $141.25 Median $141.25 Typical High $457.09 | Facility | None | $141.25 | $141.25 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None | $141.25 | $141.25 | $208.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $416.87 | Facility | None | $112.20 | $208.93 | $416.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $1,258.93 Typical High $1,318.26 | Professional | None | $128.82 | $1,258.93 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $478.63 | Facility | None | $218.78 | $309.03 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $204.17 | Professional | None | $93.33 | $154.88 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $389.05 | Professional | None | $120.23 | $177.83 | $389.05 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $131.83 | Professional | None | $75.86 | $120.23 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $302.00 | Facility | None | $151.36 | $151.36 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $446.68 | Facility | None | $165.96 | $263.03 | $446.68 |
Premera BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $416.87 | Facility | None | $151.36 | $245.47 | $416.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $173.78 | Professional | None | $128.82 | $151.36 | $173.78 |
United Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $181.97 | Facility | None | $151.36 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $269.15 | Professional | None | $91.20 | $91.20 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $269.15 | Professional | None | $67.61 | $151.36 | $269.15 |
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 $70.79 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.84 |
Where Washington sits
The same service costs 2.9 times more in Alaska than in New Jersey. 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· 34th of 51
$158
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.