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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $66.07 | Professional | None | $47.86 | $66.07 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $831.76 Typical High $1,819.70 | Facility | None | $37.15 | $831.76 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $426.58 | Professional | None | $46.77 | $46.77 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $58.88 | Professional | None | $36.31 | $41.69 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $63.10 Typical High $123.03 | Professional | None | $30.90 | $63.10 | $123.03 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $42.66 Typical High $75.86 | Professional | None | $26.92 | $42.66 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $97.72 | Facility | None | $50.12 | $79.43 | $97.72 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Facility | None | $61.66 | $61.66 | $66.07 |
Premera BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $1,737.80 | Facility | None | $562.34 | $891.25 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $93.33 | Professional | None | $46.77 | $46.77 | $93.33 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $77.62 | Professional | None | $38.02 | $61.66 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | None | $51.29 | $72.44 | $72.44 |
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 $24.55 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $24.55 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $9.77 | $13.18 | $13.18 |
Where Washington sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 15th of 51
$54.95
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.