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 Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $3,311.31 | Professional | None | $151.36 | $245.47 | $3,311.31 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $562.34 | Facility | None | $102.33 | $288.40 | $562.34 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,348.96 | Professional | None | $208.93 | $208.93 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $371.54 | Professional | None | $162.18 | $229.09 | $371.54 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $169.82 Typical High $331.13 | Professional | None | $91.20 | $169.82 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $316.23 | Facility | None | $186.21 | $269.15 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $204.17 | Facility | None | $194.98 | $204.17 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $537.03 | Facility | None | $218.78 | $288.40 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None | $208.93 | $208.93 | $288.40 |
United Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $562.34 | Facility | None | $281.84 | $371.54 | $562.34 |
United Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $426.58 | Professional | None | $190.55 | $234.42 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $323.59 | Professional | None | $144.54 | $194.98 | $323.59 |
3 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 Facility Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Where Washington sits
The same service costs 5.0 times more in Alaska than in Florida. 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· 30th of 51
$200
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.