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 $77.62 Median $77.62 Typical High $83.18 | Facility | None | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $83.18 | Professional | None | $75.86 | $77.62 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $102.33 | Facility | None | $38.02 | $38.02 | $102.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $549.54 | Professional | None | $83.18 | $102.33 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $131.83 | Professional | None | $51.29 | $75.86 | $131.83 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $93.33 Typical High $162.18 | Professional | None | $54.95 | $93.33 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $123.03 Typical High $125.89 | Facility | None | $74.13 | $123.03 | $125.89 |
Premera BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Facility | None | $85.11 | $85.11 | $87.10 |
Premera BCBS Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | None | $81.28 | $87.10 | $87.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $123.03 | Professional | None | $83.18 | $87.10 | $123.03 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $134.90 | Professional | None | $70.79 | $87.10 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $102.33 | Professional | None | $51.29 | $66.07 | $102.33 |
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 $38.90 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $38.90 | $41.69 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 13th of 51
$85.11
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.