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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $199.53 | Professional | None | $151.36 | $199.53 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $1,380.38 | Professional | None | $208.93 | $213.80 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $436.52 | Professional | None | $169.82 | $204.17 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $354.81 | Professional | None | $128.82 | $199.53 | $354.81 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $257.04 Typical High $416.87 | Professional | None | $100.00 | $257.04 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $316.23 | Facility | None | $190.55 | $302.00 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $218.78 | Facility | None | $208.93 | $208.93 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $363.08 | Professional | None | $208.93 | $213.80 | $363.08 |
United Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $501.19 | Professional | None | $190.55 | $239.88 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $275.42 | Professional | None | $134.90 | $181.97 | $275.42 |
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 $83.18 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
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· 14th of 51
$219
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.