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 $56.23 Median $61.66 Typical High $112.20 | Facility | None | $56.23 | $61.66 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $104.71 | Professional | None | $56.23 | $91.20 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None | $117.49 | $117.49 | $131.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $58.88 Median $416.87 Typical High $891.25 | Facility | None | $58.88 | $416.87 | $891.25 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $234.42 | Professional | None | $123.03 | $177.83 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $281.84 | Professional | None | $61.66 | $114.82 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $75.86 Typical High $141.25 | Professional | None | $43.65 | $75.86 | $141.25 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $251.19 | Professional | None | $125.89 | $138.04 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $269.15 | Facility | None | $97.72 | $204.17 | $269.15 |
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 $117.49 Median $173.78 Typical High $173.78 | Professional | None | $117.49 | $173.78 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $891.25 | Facility | None | $346.74 | $467.74 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $223.87 | Professional | None | $123.03 | $177.83 | $223.87 |
United Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,071.52 | Facility | None | $524.81 | $691.83 | $1,071.52 |
United Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $354.81 | Professional | None | $69.18 | $128.82 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $199.53 | Professional | None | $79.43 | $147.91 | $199.53 |
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 $28.18 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $28.18 | $39.81 | $52.48 |
Where Washington sits
The same service costs 3.4 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· 11th of 51
$135
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.