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 $17.38 Median $17.38 Typical High $57.54 | Facility | None | $17.38 | $17.38 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | None | $17.38 | $17.38 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.13 Median $21.38 Typical High $51.29 | Facility | None | $14.13 | $21.38 | $51.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $18.62 | Professional | None | $14.13 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $34.67 Typical High $46.77 | Facility | None | $10.00 | $34.67 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $25.70 | Professional | None | $9.55 | $11.48 | $25.70 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $20.42 | Facility | None | $18.62 | $18.62 | $20.42 |
Premera BCBS Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $56.23 | Facility | None | $18.62 | $32.36 | $56.23 |
Premera BCBS Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $22.39 | Professional | None | $15.14 | $16.60 | $22.39 |
Regence BlueShield Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $51.29 | Facility | None | $18.62 | $28.18 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $18.62 | Professional | None | $14.13 | $16.60 | $18.62 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $22.39 | Facility | None | $18.62 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $18.62 | Professional | None | $7.76 | $7.76 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $18.62 Typical High $33.88 | Professional | None | $8.32 | $18.62 | $33.88 |
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 $8.71 Median $8.71 Typical High $9.12 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.63 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 23rd of 51
$17.38
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.