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 $128.82 Median $128.82 Typical High $213.80 | Facility | None | $128.82 | $128.82 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $72.44 Median $147.91 Typical High $213.80 | Facility | None | $72.44 | $147.91 | $213.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $812.83 | Professional | None | $134.90 | $134.90 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | None | $95.50 | $95.50 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $229.09 | Professional | None | $87.10 | $117.49 | $229.09 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $234.42 | Professional | None | $83.18 | $128.82 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $190.55 Typical High $190.55 | Facility | None | $112.20 | $190.55 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $263.03 | Facility | None | $131.83 | $190.55 | $263.03 |
Premera BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $213.80 | Facility | None | $134.90 | $147.91 | $213.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $251.19 | Professional | None | $102.33 | $144.54 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $204.17 | Professional | None | $100.00 | $107.15 | $204.17 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Where Washington sits
The same service costs 3.0 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· 11th of 51
$132
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.