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 $25.70 Median $25.70 Typical High $83.18 | Facility | None | $25.70 | $25.70 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $26.30 | Professional | None | $22.91 | $25.70 | $26.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $74.13 | Facility | None | $20.42 | $29.51 | $74.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $26.92 | Professional | None | $20.42 | $24.55 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $50.12 Typical High $67.61 | Facility | None | $14.79 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $37.15 | Professional | None | $14.13 | $16.98 | $37.15 |
Pacific Source Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Facility | None | $26.92 | $26.92 | $32.36 |
Premera BCBS Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $81.28 | Facility | None | $26.92 | $47.86 | $81.28 |
Premera BCBS Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $32.36 | Professional | None | $22.39 | $24.55 | $32.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $74.13 | Facility | None | $26.92 | $43.65 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $26.92 | Professional | None | $20.42 | $24.55 | $26.92 |
United Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $32.36 | Facility | None | $26.92 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $26.92 | Professional | None | $11.48 | $11.48 | $26.92 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $26.92 Typical High $48.98 | Professional | None | $12.30 | $26.92 | $48.98 |
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 $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.25 |
Where Washington sits
The same service costs 4.0 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· 22nd of 51
$25.70
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.