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 $83.18 Median $83.18 Typical High $138.04 | Facility | None | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $741.31 | Facility | None | $190.55 | $354.81 | $741.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $2,187.76 | Professional | None | $165.96 | $346.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $758.58 | Professional | None | $257.04 | $436.52 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $524.81 | Professional | None | $72.44 | $112.20 | $524.81 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $338.84 Typical High $602.56 | Professional | None | $158.49 | $338.84 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $467.74 | Facility | None | $389.05 | $467.74 | $467.74 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $323.59 | Facility | None | $79.43 | $79.43 | $323.59 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $707.95 | Facility | None | $281.84 | $371.54 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $467.74 | Professional | None | $165.96 | $165.96 | $467.74 |
United Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $794.33 | Facility | None | $389.05 | $512.86 | $794.33 |
United Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $741.31 | Professional | None | $48.98 | $57.54 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $588.84 | Professional | None | $269.15 | $363.08 | $588.84 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Where Washington sits
The same service costs 13.5 times more in Minnesota 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· 14th of 51
$324
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.