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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $2,951.21 Typical High $6,025.60 | Facility | None | $64.57 | $2,951.21 | $6,025.60 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $707.95 | Professional | None (both parts) | $151.36 | $208.93 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $114.82 | $223.87 | $338.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $95.50 | $141.25 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $57.54 | $104.71 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $213.80 | Facility | None | $169.82 | $204.17 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $5,754.40 | Facility | None | $2,041.74 | $3,090.30 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $151.36 | $151.36 | $251.19 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,311.31 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $123.03 | $162.18 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $87.10 | $93.33 | $177.83 |
4 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 $57.54 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.18 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $128.82 | $151.36 | $218.78 |
Where Washington sits
The same service costs 3.2 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
$141
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.