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 $114.82 Median $151.36 Typical High $218.78 | Facility | None | $114.82 | $151.36 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $154.88 | Professional | None | $114.82 | $131.83 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | None | $117.49 | $125.89 | $125.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $74.13 Median $831.76 Typical High $1,819.70 | Facility | None | $74.13 | $831.76 | $1,819.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $239.88 | Professional | None | $141.25 | $162.18 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $138.04 | Professional | None | $114.82 | $123.03 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $162.18 | Professional | None | $91.20 | $120.23 | $162.18 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $218.78 | Professional | None | $58.88 | $81.28 | $218.78 |
Pacific Source Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $239.88 | Facility | None | $128.82 | $223.87 | $239.88 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $165.96 | Facility | None | $158.49 | $158.49 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None | $147.91 | $165.96 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,737.80 | Facility | None | $602.56 | $912.01 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $218.78 | Professional | None | $141.25 | $162.18 | $218.78 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,288.25 | Facility | None | $630.96 | $831.76 | $1,288.25 |
United Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $295.12 | Professional | None | $125.89 | $169.82 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $144.54 | Professional | None | $100.00 | $125.89 | $144.54 |
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 $66.07 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $26.92 | $30.20 |
Where Washington sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 9th of 51
$145
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.