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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $112.20 | Professional | None | $79.43 | $97.72 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $234.42 | Professional | None | $77.62 | $77.62 | $234.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Facility | None | $57.54 | $57.54 | $69.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $107.15 Median $676.08 Typical High $851.14 | Professional | None | $107.15 | $676.08 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $234.42 Typical High $426.58 | Professional | None | $44.67 | $234.42 | $426.58 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $144.54 | Professional | None | $75.86 | $141.25 | $144.54 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $194.98 Typical High $199.53 | Facility | None | $100.00 | $194.98 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $208.93 | Professional | None | $107.15 | $138.04 | $208.93 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $724.44 | Professional | None | $181.97 | $269.15 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $416.87 | Professional | None | $218.78 | $309.03 | $416.87 |
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 $39.81 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $39.81 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $15.85 | $19.50 | $22.39 |
Where Washington sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 19th of 51
$141
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.