How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $562.34 | Professional | None | $389.05 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Facility | None | $323.59 | $323.59 | $389.05 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $575.44 Median $2,754.23 Typical High $3,715.35 | Professional | None | $575.44 | $2,754.23 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $954.99 | Professional | None | $426.58 | $426.58 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $1,047.13 | Professional | None | $323.59 | $575.44 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $79.43 | Professional | None | $30.20 | $60.26 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $831.76 | Facility | None | $691.83 | $831.76 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $575.44 | Facility | None | $562.34 | $562.34 | $575.44 |
Premera BCBS Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $933.25 | Professional | None | $575.44 | $575.44 | $933.25 |
United Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $1,023.29 | Professional | None | $426.58 | $512.86 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $954.99 | Professional | None | $501.19 | $676.08 | $954.99 |
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 $208.93 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $208.93 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $83.18 | $112.20 | $112.20 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$575
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.