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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $346.74 | Professional | None | $158.49 | $199.53 | $346.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $676.08 | Facility | None | $186.21 | $281.84 | $676.08 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $245.47 | Professional | None | $186.21 | $223.87 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $363.08 Typical High $645.65 | Facility | None | $109.65 | $363.08 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $89.13 | Professional | None | $64.57 | $89.13 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $501.19 | Facility | None | $245.47 | $371.54 | $501.19 |
Premera BCBS Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $741.31 | Facility | None | $245.47 | $436.52 | $741.31 |
Premera BCBS Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $295.12 | Professional | None | $194.98 | $223.87 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $676.08 | Facility | None | $245.47 | $371.54 | $676.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $245.47 | Professional | None | $186.21 | $223.87 | $245.47 |
United Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $295.12 | Facility | None | $245.47 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $245.47 | Professional | None | $91.20 | $104.71 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $446.68 | Professional | None | $112.20 | $245.47 | $446.68 |
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 $114.82 Median $114.82 Typical High $120.23 | Professional | 52 · Reduced service | $114.82 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $47.86 |
Where Washington sits
The same service costs 7.4 times more in Alaska than in Georgia. 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· 14th of 51
$224
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.