How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,365.16 | $4,466.84 | $4,466.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,148.15 | Facility | None | $831.76 | $954.99 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $11,748.98 | Professional | None | $831.76 | $933.25 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $8,317.64 Typical High $8,912.51 | Facility | None | $4,466.84 | $8,317.64 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,584.89 | $2,754.23 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $912.01 | Professional | None | $75.86 | $75.86 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Premera BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,737.80 | Facility | None | $831.76 | $831.76 | $1,737.80 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | None | $794.33 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,309.57 | Professional | None | $5,248.07 | $5,248.07 | $6,309.57 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,122.02 | $1,174.90 |
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 $2,187.76 Median $2,238.72 Typical High $2,238.72 | Professional | 52 · Reduced service | $2,187.76 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $891.25 Typical High $891.25 | Professional | 53 · Discontinued | $870.96 | $891.25 | $891.25 |
Where Washington sits
The same service costs 24.5 times more in West Virginia than in Kansas. 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· 19th of 51
$4,467
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.