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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $41.69 Median $91.20 Typical High $831.76 | Facility | None | $41.69 | $91.20 | $831.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $177.83 Median $831.76 Typical High $1,071.52 | Professional | None | $177.83 | $831.76 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $331.13 | Professional | None | $123.03 | $144.54 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $363.08 | Professional | None | $151.36 | $281.84 | $363.08 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $213.80 Typical High $338.84 | Professional | None | $38.02 | $213.80 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $257.04 | Facility | None | $141.25 | $239.88 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Premera BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $89.13 | Facility | None | $70.79 | $70.79 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $302.00 | Professional | None | $162.18 | $177.83 | $302.00 |
United Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $380.19 | Professional | None | $144.54 | $169.82 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $288.40 | Professional | None | $128.82 | $173.78 | $288.40 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Where Washington sits
The same service costs 21.4 times more in Alaska than in New York. 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
$195
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.