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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | None | $16.60 | $16.60 | $20.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $14.13 | Facility | None | $8.51 | $10.23 | $14.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.88 Median $51.29 Typical High $645.65 | Professional | None | $21.88 | $51.29 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $102.33 | Professional | None | $18.20 | $33.88 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $39.81 Typical High $100.00 | Professional | None | $21.38 | $39.81 | $100.00 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $56.23 Typical High $89.13 | Professional | None | $28.18 | $56.23 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $28.84 Typical High $79.43 | Facility | None | $13.80 | $28.84 | $79.43 |
Premera BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $24.55 | Facility | None | $21.38 | $21.38 | $24.55 |
Premera BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $54.95 | Professional | None | $21.88 | $37.15 | $54.95 |
United Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $104.71 | Professional | None | $19.50 | $23.44 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $42.66 | Professional | None | $26.30 | $27.54 | $42.66 |
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 $8.32 Median $8.32 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.07 |
Where Washington sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 10th of 51
$52.48
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.