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 $102.33 Typical High $120.23 | Facility | None | $89.13 | $102.33 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $120.23 | Professional | None | $89.13 | $102.33 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $95.50 | Professional | None | $79.43 | $83.18 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $77.62 Median $416.87 Typical High $891.25 | Facility | None | $77.62 | $416.87 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $173.78 | Professional | None | $95.50 | $95.50 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $128.82 | Professional | None | $79.43 | $83.18 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $151.36 | Professional | None | $87.10 | $109.65 | $151.36 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $151.36 | Professional | None | $72.44 | $83.18 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $204.17 | Facility | None | $120.23 | $194.98 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $446.68 Typical High $891.25 | Facility | None | $104.71 | $446.68 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | None | $95.50 | $95.50 | $141.25 |
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 $95.50 Median $104.71 Typical High $144.54 | Professional | None | $95.50 | $104.71 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $147.91 | Professional | None | $104.71 | $112.20 | $147.91 |
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 HO · Master's level Typical Low $69.18 Median $89.13 Typical High $93.33 | Professional | HO · Master's level | $69.18 | $89.13 | $93.33 |
Ambetter Setting Professional Modifier TG · Complex care level Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TG · Complex care level | $112.20 | $112.20 | $112.20 |
Where Washington sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 16th of 51
$102
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.