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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | None | $524.81 | $575.44 | $575.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $870.96 Typical High $1,819.70 | Facility | None | $354.81 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $4,073.80 | Professional | None | $616.60 | $891.25 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,047.13 Typical High $1,479.11 | Professional | None | $537.03 | $1,047.13 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $851.14 | Professional | None | $323.59 | $489.78 | $851.14 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $549.54 | Professional | None | $44.67 | $79.43 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $389.05 Typical High $389.05 | Facility | None | $154.88 | $389.05 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
Premera BCBS Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,737.80 | Facility | None | $691.83 | $912.01 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | None | $616.60 | $616.60 | $1,047.13 |
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 $478.63 Median $691.83 Typical High $1,445.44 | Professional | None | $478.63 | $691.83 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $891.25 | Professional | None | $407.38 | $467.74 | $891.25 |
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 $263.03 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $263.03 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $104.71 | $117.49 | $117.49 |
Where Washington sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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
$617
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.