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 $218.78 Median $218.78 Typical High $316.23 | Facility | None | $218.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $316.23 | Professional | None | $218.78 | $239.88 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $602.56 | Professional | None | $537.03 | $562.34 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $489.78 | Facility | None | $125.89 | $251.19 | $489.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $1,737.80 | Professional | None | $263.03 | $371.54 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $436.52 | Professional | None | $204.17 | $281.84 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $478.63 | Professional | None | $154.88 | $251.19 | $478.63 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $724.44 | Professional | None | $194.98 | $380.19 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $489.78 Typical High $549.54 | Facility | None | $295.12 | $489.78 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $371.54 | Facility | None | $354.81 | $371.54 | $371.54 |
Premera BCBS Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $354.81 | Professional | None | $251.19 | $354.81 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $478.63 | Professional | None | $263.03 | $371.54 | $478.63 |
United Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $602.56 | Facility | None | $302.00 | $398.11 | $602.56 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $489.78 | Professional | None | $218.78 | $309.03 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $426.58 | Professional | None | $169.82 | $302.00 | $426.58 |
1 more rate 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 $109.65 Median $117.49 Typical High $158.49 | Professional | 52 · Reduced service | $109.65 | $117.49 | $158.49 |
Where Washington sits
The same service costs 2.7 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· 10th of 51
$324
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.