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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | None | $74.13 | $97.72 | $97.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $229.09 | Facility | None | $54.95 | $112.20 | $229.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $645.65 | Professional | None | $70.79 | $70.79 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $79.43 | Professional | None | $42.66 | $56.23 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $93.33 Typical High $190.55 | Professional | None | $44.67 | $93.33 | $190.55 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $151.36 | Professional | None | $52.48 | $85.11 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $141.25 Typical High $144.54 | Facility | None | $18.62 | $141.25 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Facility | None | $93.33 | $93.33 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $223.87 | Facility | None | $89.13 | $117.49 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $141.25 | Professional | None | $70.79 | $70.79 | $141.25 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $114.82 | Professional | None | $56.23 | $89.13 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $109.65 | Professional | None | $77.62 | $109.65 | $109.65 |
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 $37.15 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.79 | $19.50 | $19.50 |
Where Washington sits
The same service costs 4.5 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· 11th of 51
$89.13
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.