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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | None | $53.70 | $70.79 | $70.79 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $162.18 Typical High $354.81 | Facility | None | $45.71 | $162.18 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $537.03 | Professional | None | $51.29 | $51.29 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $64.57 | Professional | None | $39.81 | $44.67 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $138.04 | Professional | None | $43.65 | $69.18 | $138.04 |
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 $50.12 Median $93.33 Typical High $114.82 | Facility | None | $50.12 | $93.33 | $114.82 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $338.84 | Facility | None | $120.23 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $109.65 | Professional | None | $51.29 | $51.29 | $109.65 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $85.11 | Professional | None | $45.71 | $66.07 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | None | $64.57 | $91.20 | $91.20 |
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 $28.18 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $28.18 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $11.22 | $14.45 | $14.45 |
Where Washington sits
The same service costs 2.6 times more in Alaska than in Indiana. 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
$70.79
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.