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 $44.67 Median $67.61 Typical High $218.78 | Facility | None | $44.67 | $67.61 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $66.07 | Professional | None | $44.67 | $44.67 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $95.50 | Professional | None | $29.51 | $29.51 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $131.83 | Facility | None | $35.48 | $54.95 | $131.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $47.86 | Professional | None | $35.48 | $42.66 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $123.03 | Facility | None | $48.98 | $87.10 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $48.98 Typical High $69.18 | Professional | None | $29.51 | $48.98 | $69.18 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $64.57 | Professional | None | $30.90 | $41.69 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $95.50 | Facility | None | $47.86 | $57.54 | $95.50 |
Premera BCBS Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $144.54 | Facility | None | $47.86 | $83.18 | $144.54 |
Premera BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | None | $42.66 | $42.66 | $57.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $131.83 | Facility | None | $47.86 | $79.43 | $131.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $47.86 | Professional | None | $35.48 | $42.66 | $47.86 |
United Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $57.54 | Facility | None | $47.86 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $53.70 | Professional | None | $19.95 | $21.38 | $53.70 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $47.86 Typical High $85.11 | Professional | None | $21.38 | $47.86 | $85.11 |
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 $22.39 Median $22.39 Typical High $28.84 | Professional | 52 · Reduced service | $22.39 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 53 · Discontinued | $8.91 | $8.91 | $11.48 |
Where Washington sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 30th of 51
$45.71
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.