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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | None | $457.09 | $562.34 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $870.96 Typical High $1,819.70 | Facility | None | $389.05 | $870.96 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $4,466.84 | Professional | None | $616.60 | $912.01 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,513.56 | Professional | None | $575.44 | $1,071.52 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $954.99 | Professional | None | $354.81 | $549.54 | $954.99 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $602.56 | Professional | None | $44.67 | $79.43 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $426.58 Typical High $426.58 | Facility | None | $416.87 | $426.58 | $426.58 |
Premera BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $660.69 | Facility | None | $602.56 | $602.56 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $1,071.52 | Professional | None | $616.60 | $616.60 | $1,071.52 |
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 $501.19 Median $691.83 Typical High $1,513.56 | Professional | None | $501.19 | $691.83 | $1,513.56 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $977.24 | Professional | None | $446.68 | $512.86 | $977.24 |
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 $257.04 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $104.71 | $112.20 | $112.20 |
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.