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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $933.25 | Professional | None | $776.25 | $933.25 | $933.25 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $616.60 Median $1,513.56 Typical High $3,090.30 | Facility | None | $616.60 | $1,513.56 | $3,090.30 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $7,079.46 | Professional | None | $1,000.00 | $1,445.44 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,398.83 | Professional | None | $954.99 | $1,698.24 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,584.89 | Professional | None | $588.84 | $912.01 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $741.31 Typical High $1,000.00 | Professional | None | $44.67 | $741.31 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $741.31 | Facility | None | $416.87 | $707.95 | $741.31 |
Premera BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,000.00 | $1,047.13 |
Premera BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $1,000.00 Median $1,000.00 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,000.00 | $1,698.24 |
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 $851.14 Median $1,148.15 Typical High $2,511.89 | Professional | None | $851.14 | $1,148.15 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,621.81 | Professional | None | $741.31 | $870.96 | $1,621.81 |
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 $426.58 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $426.58 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $190.55 | $190.55 |
Where Washington sits
The same service costs 4.1 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· 13th of 51
$1,000
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.