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 $13.80 Median $13.80 Typical High $44.67 | Facility | None | $13.80 | $13.80 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.50 | Professional | None | $13.80 | $13.80 | $19.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $40.74 | Facility | None | $10.96 | $16.98 | $40.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $14.79 | Professional | None | $10.96 | $13.18 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $26.92 Typical High $46.77 | Facility | None | $15.14 | $26.92 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $21.38 | Professional | None | $9.12 | $15.49 | $21.38 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $12.88 | Professional | None | $9.33 | $12.88 | $12.88 |
Pacific Source Setting Facility Modifier None Typical Low $14.79 Median $15.49 Typical High $29.51 | Facility | None | $14.79 | $15.49 | $29.51 |
Premera BCBS Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $40.74 | Facility | None | $14.79 | $25.70 | $40.74 |
Premera BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $17.78 | Professional | None | $13.18 | $13.18 | $17.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $14.79 Median $23.99 Typical High $40.74 | Facility | None | $14.79 | $23.99 | $40.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $14.79 | Professional | None | $10.96 | $13.18 | $14.79 |
United Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $17.78 | Facility | None | $14.79 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $6.17 Median $6.61 Typical High $16.60 | Professional | None | $6.17 | $6.61 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $6.61 Median $14.79 Typical High $26.30 | Professional | None | $6.61 | $14.79 | $26.30 |
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 $6.92 Median $6.92 Typical High $8.71 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.55 |
Where Washington sits
The same service costs 3.7 times more in Kansas than in Maryland. 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· 33rd of 51
$13.80
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.