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 $2.95 Median $7.76 Typical High $89.13 | Facility | None | $2.95 | $7.76 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $4.90 | Professional | None | $2.95 | $3.72 | $4.90 |
Ambetter Setting Professional Modifier None Typical Low $1.95 Median $5.01 Typical High $6.03 | Professional | None | $1.95 | $5.01 | $6.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.40 Median $3.98 Typical High $8.71 | Facility | None | $2.40 | $3.98 | $8.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $3.16 | Professional | None | $2.40 | $2.82 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.75 Typical High $10.23 | Facility | None | $3.31 | $5.75 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.47 Typical High $4.68 | Professional | None | $2.00 | $3.47 | $4.68 |
Molina Setting Professional Modifier None Typical Low $2.04 Median $2.82 Typical High $2.82 | Professional | None | $2.04 | $2.82 | $2.82 |
Pacific Source Setting Facility Modifier None Typical Low $3.16 Median $3.63 Typical High $6.76 | Facility | None | $3.16 | $3.63 | $6.76 |
Premera BCBS Setting Facility Modifier None Typical Low $3.16 Median $5.50 Typical High $8.71 | Facility | None | $3.16 | $5.50 | $8.71 |
Premera BCBS Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.80 | Professional | None | $2.82 | $2.82 | $3.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.16 Median $5.25 Typical High $8.71 | Facility | None | $3.16 | $5.25 | $8.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $3.16 | Professional | None | $2.40 | $2.82 | $3.16 |
United Setting Facility Modifier None Typical Low $3.16 Median $3.80 Typical High $3.80 | Facility | None | $3.16 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $3.80 | Professional | None | $1.91 | $2.63 | $3.80 |
Wellpoint Setting Professional Modifier None Typical Low $1.45 Median $3.16 Typical High $5.75 | Professional | None | $1.45 | $3.16 | $5.75 |
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 $1.48 Median $1.48 Typical High $1.91 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.76 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.76 |
Where Washington sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 44th of 51
$3.16
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.