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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $436.52 Typical High $891.25 | Facility | None | $100.00 | $436.52 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $1,148.15 | Professional | None | $190.55 | $234.42 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | None | $109.65 | $109.65 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $295.12 | Professional | None | $104.71 | $147.91 | $295.12 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $194.98 Typical High $338.84 | Professional | None | $57.54 | $194.98 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $275.42 | Facility | None | $158.49 | $263.03 | $275.42 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $190.55 | Facility | None | $165.96 | $190.55 | $190.55 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $870.96 | Facility | None | $331.13 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | None | $190.55 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $363.08 | Professional | None | $147.91 | $190.55 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $309.03 | Professional | None | $138.04 | $186.21 | $309.03 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $44.67 | $44.67 | $44.67 |
Where Washington sits
The same service costs 3.0 times more in Minnesota 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· 13th of 51
$191
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.