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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | None | $147.91 | $147.91 | $199.53 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Facility | None | $131.83 | $131.83 | $158.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $257.04 Median $1,174.90 Typical High $1,479.11 | Professional | None | $257.04 | $1,174.90 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $446.68 | Professional | None | $169.82 | $263.03 | $446.68 |
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 $218.78 Median $363.08 Typical High $371.54 | Facility | None | $218.78 | $363.08 | $371.54 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None | $257.04 | $257.04 | $426.58 |
United Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $457.09 | Professional | None | $218.78 | $269.15 | $457.09 |
Wellpoint Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $354.81 | Professional | None | $177.83 | $190.55 | $354.81 |
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 $74.13 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $74.13 | $95.50 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 12th 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.