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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $138.04 | Professional | None | $109.65 | $134.90 | $138.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $218.78 | Facility | None | $66.07 | $107.15 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $912.01 | Professional | None | $144.54 | $199.53 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $288.40 | Professional | None | $117.49 | $138.04 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $245.47 | Professional | None | $89.13 | $138.04 | $245.47 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $251.19 | Professional | None | $66.07 | $154.88 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $208.93 | Facility | None | $83.18 | $204.17 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Premera BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | None | $144.54 | $144.54 | $239.88 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $323.59 | Professional | None | $131.83 | $169.82 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $181.97 | Professional | None | $89.13 | $117.49 | $181.97 |
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 $56.23 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $26.92 | $26.92 |
Where Washington sits
The same service costs 2.7 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
$148
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.