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 $70.79 Median $70.79 Typical High $229.09 | Facility | None | $70.79 | $70.79 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $104.71 | Professional | None | $70.79 | $70.79 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $204.17 | Facility | None | $56.23 | $85.11 | $204.17 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $74.13 | Professional | None | $56.23 | $67.61 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $134.90 Typical High $194.98 | Facility | None | $77.62 | $134.90 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $102.33 | Professional | None | $46.77 | $60.26 | $102.33 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $79.43 Typical High $151.36 | Facility | None | $74.13 | $79.43 | $151.36 |
Pacific Source Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Premera BCBS Setting Facility Modifier None Typical Low $74.13 Median $131.83 Typical High $223.87 | Facility | None | $74.13 | $131.83 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | None | $67.61 | $67.61 | $89.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $74.13 Median $123.03 Typical High $204.17 | Facility | None | $74.13 | $123.03 | $204.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $74.13 | Professional | None | $56.23 | $67.61 | $74.13 |
United Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $89.13 | Facility | None | $74.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $83.18 | Professional | None | $31.62 | $33.88 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $74.13 Typical High $134.90 | Professional | None | $33.88 | $74.13 | $134.90 |
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 $35.48 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $17.38 |
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· 27th of 51
$70.79
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.