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 $30.90 Median $100.00 Typical High $147.91 | Facility | None | $30.90 | $100.00 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $45.71 | Professional | None | $30.90 | $30.90 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $89.13 | Facility | None | $24.55 | $36.31 | $89.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $32.36 | Professional | None | $24.55 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $58.88 Typical High $85.11 | Facility | None | $33.88 | $58.88 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $66.07 | Professional | None | $20.42 | $34.67 | $66.07 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $28.84 | Professional | None | $20.89 | $28.84 | $28.84 |
Pacific Source Setting Facility Modifier None Typical Low $32.36 Median $35.48 Typical High $53.70 | Facility | None | $32.36 | $35.48 | $53.70 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $57.54 Typical High $89.13 | Facility | None | $32.36 | $57.54 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | None | $29.51 | $29.51 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $89.13 | Facility | None | $32.36 | $53.70 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $32.36 | Professional | None | $24.55 | $29.51 | $32.36 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $38.90 | Facility | None | $32.36 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $36.31 | Professional | None | $13.80 | $14.79 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $14.79 Median $32.36 Typical High $58.88 | Professional | None | $14.79 | $32.36 | $58.88 |
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 $15.49 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.76 |
Where Washington sits
The same service costs 4.6 times more in Kansas 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· 28th of 51
$32.36
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.