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 Professional Modifier None Typical Low $0.43 Median $15.14 Typical High $25.12 | Professional | None | $0.43 | $15.14 | $25.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $0.60 | Facility | None | $0.50 | $0.50 | $0.60 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.98 Median $181.97 Typical High $331.13 | Professional | None | $16.98 | $181.97 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $27.54 Typical High $39.81 | Professional | None | $13.49 | $27.54 | $39.81 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | None | $10.00 | $10.96 | $10.96 |
Pacific Source Setting Facility Modifier None Typical Low $15.14 Median $21.38 Typical High $37.15 | Facility | None | $15.14 | $21.38 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $20.42 | Facility | None | $16.60 | $16.60 | $20.42 |
Premera BCBS Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $30.20 Typical High $45.71 | Professional | None | $16.98 | $30.20 | $45.71 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $39.81 | Professional | None | $13.80 | $18.62 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $0.69 Median $0.72 Typical High $1.05 | Professional | None | $0.69 | $0.72 | $1.05 |
3 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 Facility Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $8.32 | Professional | 52 · Reduced service | $6.31 | $6.31 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.31 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.31 |
Where Washington sits
The same service costs 5.5 times more in Alaska 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· 24th of 51
$20.42
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.