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 $56.23 Median $56.23 Typical High $186.21 | Facility | None | $56.23 | $56.23 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | None | $56.23 | $56.23 | $57.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $165.96 | Facility | None | $44.67 | $66.07 | $165.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $60.26 | Professional | None | $44.67 | $53.70 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $89.13 Typical High $151.36 | Facility | None | $21.38 | $89.13 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $81.28 | Professional | None | $21.88 | $30.20 | $81.28 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | None | $38.02 | $52.48 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $100.00 | Facility | None | $38.90 | $60.26 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $104.71 Typical High $165.96 | Facility | None | $60.26 | $104.71 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $72.44 | Professional | None | $47.86 | $53.70 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $165.96 | Facility | None | $60.26 | $89.13 | $165.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $60.26 | Professional | None | $44.67 | $53.70 | $60.26 |
United Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $72.44 | Facility | None | $60.26 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $9.77 Median $25.12 Typical High $60.26 | Professional | None | $9.77 | $25.12 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $60.26 Typical High $107.15 | Professional | None | $26.92 | $60.26 | $107.15 |
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 $28.18 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.75 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.75 |
Where Washington sits
The same service costs 8.7 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· 17th of 51
$56.23
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.