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 $120.23 Median $120.23 Typical High $398.11 | Facility | None | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | None | $120.23 | $120.23 | $125.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $354.81 | Facility | None | $97.72 | $141.25 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | None | $97.72 | $117.49 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $190.55 Typical High $323.59 | Facility | None | $100.00 | $190.55 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $177.83 | Professional | None | $66.07 | $93.33 | $177.83 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $114.82 | Professional | None | $83.18 | $114.82 | $114.82 |
Pacific Source Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $263.03 | Facility | None | $128.82 | $144.54 | $263.03 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $354.81 | Facility | None | $128.82 | $223.87 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $154.88 | Professional | None | $102.33 | $117.49 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $354.81 | Facility | None | $128.82 | $194.98 | $354.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | None | $97.72 | $117.49 | $128.82 |
United Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $154.88 | Facility | None | $128.82 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $128.82 | Professional | None | $45.71 | $53.70 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $128.82 Typical High $234.42 | Professional | None | $57.54 | $128.82 | $234.42 |
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 $60.26 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.12 |
Where Washington sits
The same service costs 6.0 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· 22nd of 51
$120
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.