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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $79.43 | Facility | None | $66.07 | $66.07 | $79.43 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $741.31 | Professional | None | $128.82 | $151.36 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | None | $85.11 | $120.23 | $213.80 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $100.00 Typical High $165.96 | Professional | None | $27.54 | $100.00 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $186.21 | Facility | None | $109.65 | $181.97 | $186.21 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Premera BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | None | $128.82 | $128.82 | $181.97 |
United Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $288.40 | Professional | None | $114.82 | $138.04 | $288.40 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $177.83 | Professional | None | $89.13 | $120.23 | $177.83 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Where Washington sits
The same service costs 2.2 times more in Nebraska 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· 15th of 51
$126
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.