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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $281.84 Median $1,288.25 Typical High $1,548.82 | Professional | None | $281.84 | $1,288.25 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $478.63 | Professional | None | $173.78 | $275.42 | $478.63 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $245.47 Typical High $416.87 | Professional | None | $141.25 | $245.47 | $416.87 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $407.38 | Facility | None | $234.42 | $398.11 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Facility | None | $275.42 | $275.42 | $281.84 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | None | $281.84 | $281.84 | $457.09 |
United Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $501.19 | Professional | None | $229.09 | $288.40 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $380.19 | Professional | None | $186.21 | $199.53 | $380.19 |
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 $83.18 Median $83.18 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $83.18 | $97.72 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in New York. 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· 15th of 51
$251
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.