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 $89.13 Median $100.00 Typical High $144.54 | Facility | None | $89.13 | $100.00 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $117.49 | Professional | None | $89.13 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | None | $81.28 | $81.28 | $117.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $426.58 Typical High $891.25 | Facility | None | $74.13 | $426.58 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $165.96 | Professional | None | $91.20 | $91.20 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $123.03 | Professional | None | $77.62 | $81.28 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $144.54 | Professional | None | $79.43 | $97.72 | $144.54 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $151.36 | Professional | None | $69.18 | $79.43 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $194.98 | Facility | None | $141.25 | $169.82 | $194.98 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Facility | None | $114.82 | $128.82 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $891.25 | Facility | None | $302.00 | $457.09 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $134.90 | Professional | None | $91.20 | $91.20 | $134.90 |
United Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Facility | None | $524.81 | $691.83 | $1,071.52 |
United Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $138.04 | Professional | None | $93.33 | $100.00 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $141.25 | Professional | None | $100.00 | $107.15 | $141.25 |
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 AF · Specialist physician Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | AF · Specialist physician | $109.65 | $117.49 | $117.49 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | HO · Master's level | $69.18 | $89.13 | $89.13 |
Where Washington sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 12th of 51
$100
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.