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 $63.10 Median $63.10 Typical High $204.17 | Facility | None | $63.10 | $63.10 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $181.97 | Facility | None | $50.12 | $74.13 | $181.97 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $66.07 | Professional | None | $50.12 | $60.26 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $173.78 | Facility | None | $69.18 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $95.50 | Professional | None | $41.69 | $70.79 | $95.50 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | None | $42.66 | $58.88 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $134.90 | Facility | None | $66.07 | $79.43 | $134.90 |
Premera BCBS Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $181.97 | Facility | None | $66.07 | $117.49 | $181.97 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None | $60.26 | $60.26 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $181.97 | Facility | None | $66.07 | $109.65 | $181.97 |
Regence BlueShield Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $66.07 | Professional | None | $50.12 | $60.26 | $66.07 |
United Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $79.43 | Facility | None | $66.07 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $74.13 | Professional | None | $28.18 | $30.20 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $30.20 Median $66.07 Typical High $120.23 | Professional | None | $30.20 | $66.07 | $120.23 |
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 $31.62 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $12.59 | $15.85 |
Where Washington sits
The same service costs 3.9 times more in Kansas than in Texas. 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
$63.10
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.