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 $169.82 Median $169.82 Typical High $281.84 | Facility | None | $169.82 | $169.82 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $169.82 Typical High $169.82 | Professional | None | $77.62 | $169.82 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $51.29 Median $162.18 Typical High $354.81 | Facility | None | $51.29 | $162.18 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $162.18 Median $758.58 Typical High $1,000.00 | Professional | None | $162.18 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $309.03 | Professional | None | $112.20 | $134.90 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $323.59 | Professional | None | $114.82 | $229.09 | $323.59 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $158.49 Typical High $257.04 | Professional | None | $28.84 | $158.49 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $234.42 | Facility | None | $114.82 | $194.98 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $120.23 Median $177.83 Typical High $338.84 | Facility | None | $120.23 | $177.83 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $281.84 | Professional | None | $151.36 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $354.81 | Facility | None | $173.78 | $229.09 | $354.81 |
United Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $363.08 | Professional | None | $95.50 | $158.49 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $269.15 | Professional | None | $120.23 | $162.18 | $269.15 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$162
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.