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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $128.82 | Professional | None | $114.82 | $117.49 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $138.04 | Professional | None | $77.62 | $77.62 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $63.10 | Facility | None | $52.48 | $52.48 | $63.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,548.82 | Professional | None | $102.33 | $102.33 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | None | $81.28 | $81.28 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $181.97 | Professional | None | $81.28 | $120.23 | $181.97 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $91.20 Typical High $169.82 | Professional | None | $38.02 | $91.20 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $165.96 | Facility | None | $114.82 | $138.04 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Facility | None | $97.72 | $100.00 | $100.00 |
Premera BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None | $102.33 | $102.33 | $144.54 |
United Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $218.78 | Professional | None | $104.71 | $125.89 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $158.49 | Professional | None | $74.13 | $100.00 | $158.49 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Where Washington sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 28th of 51
$102
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.