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 $81.28 Median $81.28 Typical High $269.15 | Facility | None | $81.28 | $81.28 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | None | $81.28 | $81.28 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $239.88 | Facility | None | $64.57 | $95.50 | $239.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $87.10 | Professional | None | $64.57 | $77.62 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $158.49 Typical High $223.87 | Facility | None | $91.20 | $158.49 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $125.89 | Professional | None | $53.70 | $91.20 | $125.89 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $75.86 | Professional | None | $56.23 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $95.50 Typical High $173.78 | Facility | None | $87.10 | $95.50 | $173.78 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $151.36 Typical High $239.88 | Facility | None | $87.10 | $151.36 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | None | $77.62 | $77.62 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $239.88 | Facility | None | $87.10 | $144.54 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $87.10 | Professional | None | $64.57 | $77.62 | $87.10 |
United Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $104.71 | Facility | None | $87.10 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $97.72 | Professional | None | $36.31 | $38.90 | $97.72 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $154.88 | Professional | None | $38.90 | $87.10 | $154.88 |
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 $40.74 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $16.22 | $20.89 |
Where Washington sits
The same service costs 4.1 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· 31st of 51
$81.28
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.