How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $169.82 Median $169.82 Typical High $173.78 | Facility | None | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $173.78 | Professional | None | $128.82 | $169.82 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $229.09 | Professional | None | $177.83 | $208.93 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | None | $83.18 | $83.18 | $100.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $1,258.93 | Professional | None | $181.97 | $181.97 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $363.08 | Professional | None | $144.54 | $173.78 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $295.12 | Professional | None | $109.65 | $169.82 | $295.12 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $251.19 | Professional | None | $81.28 | $154.88 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Facility | None | $223.87 | $263.03 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Facility | None | $181.97 | $181.97 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | None | $181.97 | $181.97 | $186.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $302.00 | Professional | None | $181.97 | $181.97 | $302.00 |
United Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $416.87 | Professional | None | $158.49 | $204.17 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $229.09 | Professional | None | $112.20 | $151.36 | $229.09 |
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 $70.79 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $28.84 | $33.88 | $34.67 |
Where Washington sits
The same service costs 2.8 times more in Alaska 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· 16th of 51
$174
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.