How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $107.15 Median $107.15 Typical High $162.18 | Facility | None | $107.15 | $107.15 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $316.23 | Facility | None | $85.11 | $125.89 | $316.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $114.82 | Professional | None | $85.11 | $102.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $288.40 | Facility | None | $165.96 | $245.47 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $128.82 | Facility | None | $102.33 | $114.82 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $199.53 Typical High $346.74 | Facility | None | $114.82 | $199.53 | $346.74 |
Premera BCBS Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | None | $93.33 | $102.33 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $316.23 | Facility | None | $114.82 | $177.83 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $114.82 | Professional | None | $85.11 | $102.33 | $114.82 |
United Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $114.82 | Professional | None | $47.86 | $47.86 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $204.17 | Professional | None | $51.29 | $114.82 | $204.17 |
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 $53.70 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $21.38 | $22.39 |
Where Washington sits
The same service costs 8.1 times more in Alaska than in Kentucky. 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· 22nd of 51
$107
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.