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 $43.65 Median $43.65 Typical High $128.82 | Facility | None | $43.65 | $43.65 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $128.82 | Professional | None | $38.02 | $51.29 | $128.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.95 Median $1,513.56 Typical High $3,090.30 | Facility | None | $19.95 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $43.65 Median $288.40 Typical High $1,148.15 | Professional | None | $43.65 | $288.40 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $234.42 | Professional | None | $38.90 | $69.18 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $288.40 | Professional | None | $40.74 | $79.43 | $288.40 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $346.74 | Professional | None | $107.15 | $213.80 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $208.93 Typical High $251.19 | Facility | None | $104.71 | $208.93 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Facility | None | $131.83 | $131.83 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $46.77 Median $138.04 Typical High $186.21 | Professional | None | $46.77 | $138.04 | $186.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,548.82 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $102.33 Typical High $288.40 | Professional | None | $43.65 | $102.33 | $288.40 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $295.12 | Professional | None | $38.90 | $83.18 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $194.98 | Professional | None | $30.90 | $54.95 | $194.98 |
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 $21.38 Median $25.70 Typical High $64.57 | Professional | 52 · Reduced service | $21.38 | $25.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $25.70 | Professional | 53 · Discontinued | $8.51 | $10.23 | $25.70 |
Where Washington sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 1st of 51
$186
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.