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 $338.84 Median $338.84 Typical High $549.54 | Facility | None | $338.84 | $338.84 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $338.84 | Professional | None | $229.09 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $1,023.29 | Facility | None | $204.17 | $489.78 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $2,511.89 | Professional | None | $331.13 | $489.78 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $812.83 | Professional | None | $323.59 | $575.44 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $562.34 | Professional | None | $208.93 | $323.59 | $562.34 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $354.81 | Professional | None | $239.88 | $288.40 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $251.19 | Facility | None | $151.36 | $251.19 | $251.19 |
Premera BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $354.81 | Facility | None | $331.13 | $331.13 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $478.63 Typical High $891.25 | Facility | None | $354.81 | $478.63 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $575.44 | Professional | None | $331.13 | $331.13 | $575.44 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $831.76 | Professional | None | $288.40 | $371.54 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $575.44 | Professional | None | $263.03 | $309.03 | $575.44 |
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 $131.83 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $67.61 | $67.61 |
Where Washington sits
The same service costs 2.8 times more in Nebraska 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· 17th of 51
$355
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.