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 $316.23 Median $316.23 Typical High $323.59 | Facility | None | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $323.59 | Professional | None | $245.47 | $316.23 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $758.58 Typical High $758.58 | Professional | None | $263.03 | $758.58 | $758.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Facility | None | $162.18 | $162.18 | $190.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $5,011.87 | Professional | None | $338.84 | $346.74 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $676.08 | Professional | None | $275.42 | $323.59 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $562.34 | Professional | None | $208.93 | $323.59 | $562.34 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $676.08 | Professional | None | $154.88 | $407.38 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $501.19 | Facility | None | $331.13 | $416.87 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | None | $338.84 | $338.84 | $346.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $562.34 | Professional | None | $338.84 | $346.74 | $562.34 |
United Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $776.25 | Professional | None | $302.00 | $389.05 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $436.52 | Professional | None | $213.80 | $288.40 | $436.52 |
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 $131.83 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $131.83 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $53.70 | $63.10 | $64.57 |
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
$347
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.