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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None | $89.13 | $120.23 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $125.89 Median $575.44 Typical High $812.83 | Professional | None | $125.89 | $575.44 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $208.93 | Professional | None | $93.33 | $93.33 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $229.09 | Professional | None | $70.79 | $123.03 | $229.09 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None | $50.12 | $50.12 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $177.83 Typical High $181.97 | Facility | None | $169.82 | $177.83 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Facility | None | $123.03 | $123.03 | $125.89 |
Premera BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $204.17 | Professional | None | $125.89 | $125.89 | $204.17 |
United Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $223.87 | Professional | None | $93.33 | $109.65 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $38.02 | Professional | None | $19.95 | $28.18 | $38.02 |
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 $44.67 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $23.99 | $23.99 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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· 11th of 51
$126
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.