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 $12.59 Median $18.62 Typical High $39.81 | Facility | None | $12.59 | $18.62 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | None | $12.59 | $12.59 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $36.31 | Facility | None | $10.00 | $15.14 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | None | $10.00 | $12.02 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.99 Typical High $42.66 | Facility | None | $13.80 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $13.80 Typical High $17.78 | Professional | None | $8.13 | $13.80 | $17.78 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $26.92 | Facility | None | $13.18 | $13.18 | $26.92 |
Premera BCBS Setting Facility Modifier None Typical Low $13.18 Median $23.44 Typical High $36.31 | Facility | None | $13.18 | $23.44 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.85 | Professional | None | $12.02 | $12.02 | $15.85 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $36.31 | Facility | None | $13.18 | $21.88 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $13.18 | Professional | None | $10.00 | $12.02 | $13.18 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $15.85 | Facility | None | $13.18 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $14.79 | Professional | None | $5.62 | $6.03 | $14.79 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $13.18 Typical High $23.99 | Professional | None | $6.03 | $13.18 | $23.99 |
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 $6.17 Median $6.17 Typical High $7.76 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.09 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Georgia. 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· 30th of 51
$12.59
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.