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 $263.03 Median $263.03 Typical High $269.15 | Facility | None | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $269.15 | Professional | None | $208.93 | $263.03 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Facility | None | $131.83 | $131.83 | $158.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $1,862.09 | Professional | None | $275.42 | $281.84 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $562.34 | Professional | None | $223.87 | $269.15 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $457.09 | Professional | None | $169.82 | $263.03 | $457.09 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $302.00 Typical High $501.19 | Professional | None | $117.49 | $302.00 | $501.19 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $407.38 Typical High $407.38 | Facility | None | $239.88 | $407.38 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Facility | None | $275.42 | $275.42 | $281.84 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $467.74 | Professional | None | $275.42 | $281.84 | $467.74 |
United Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $645.65 | Professional | None | $251.19 | $323.59 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $363.08 | Professional | None | $177.83 | $239.88 | $363.08 |
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 $109.65 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $52.48 | $53.70 |
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· 15th of 51
$282
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.