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 $162.18 Median $162.18 Typical High $537.03 | Facility | None | $162.18 | $162.18 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None | $162.18 | $162.18 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $239.88 Typical High $478.63 | Facility | None | $128.82 | $239.88 | $478.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $147.91 Median $1,288.25 Typical High $1,445.44 | Professional | None | $147.91 | $1,288.25 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $537.03 | Facility | None | $251.19 | $302.00 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $234.42 | Professional | None | $104.71 | $181.97 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $446.68 | Professional | None | $138.04 | $204.17 | $446.68 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $151.36 | Professional | None | $75.86 | $138.04 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $346.74 | Facility | None | $173.78 | $173.78 | $346.74 |
Premera BCBS Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $524.81 | Facility | None | $190.55 | $309.03 | $524.81 |
Premera BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $478.63 | Facility | None | $173.78 | $281.84 | $478.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $194.98 | Professional | None | $147.91 | $173.78 | $194.98 |
United Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $208.93 | Facility | None | $173.78 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | None | $104.71 | $104.71 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $173.78 Typical High $309.03 | Professional | None | $77.62 | $173.78 | $309.03 |
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 $81.28 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $81.28 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $32.36 | $39.81 |
Where Washington sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 32nd of 51
$182
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.