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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | None | $281.84 | $295.12 | $295.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $173.78 Typical High $208.93 | Facility | None | $30.20 | $173.78 | $208.93 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $295.12 Median $1,995.26 Typical High $2,818.38 | Professional | None | $295.12 | $1,995.26 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $676.08 | Professional | None | $380.19 | $549.54 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $616.60 | Professional | None | $331.13 | $478.63 | $616.60 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $416.87 | Facility | None | $97.72 | $128.82 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $295.12 | Facility | None | $288.40 | $288.40 | $295.12 |
Premera BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $602.56 | Professional | None | $295.12 | $416.87 | $602.56 |
United Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $660.69 | Professional | None | $263.03 | $380.19 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $141.25 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $57.54 | $58.88 | $58.88 |
Where Washington sits
The same service costs 67.6 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· 23rd of 51
$302
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.