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 $371.54 Median $371.54 Typical High $436.52 | Facility | None | $371.54 | $371.54 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $371.54 Typical High $371.54 | Professional | None | $151.36 | $371.54 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $204.17 Median $1,513.56 Typical High $3,090.30 | Facility | None | $204.17 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $2,511.89 | Professional | None | $295.12 | $446.68 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $691.83 | Professional | None | $309.03 | $501.19 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $630.96 | Professional | None | $234.42 | $363.08 | $630.96 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $398.11 | Professional | None | $44.67 | $79.43 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $281.84 | Facility | None | $169.82 | $263.03 | $281.84 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $338.84 | Facility | None | $302.00 | $338.84 | $338.84 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,202.26 | $1,548.82 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $562.34 | Professional | None | $295.12 | $295.12 | $562.34 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,238.72 | Facility | None | $1,096.48 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $645.65 | Professional | None | $194.98 | $416.87 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $660.69 | Professional | None | $295.12 | $346.74 | $660.69 |
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 $125.89 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $50.12 | $74.13 | $74.13 |
Where Washington sits
The same service costs 4.2 times more in New Hampshire 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· 15th of 51
$347
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.