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 $3.39 Median $3.63 Typical High $12.59 | Facility | None | $3.39 | $3.63 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.27 | Professional | None | $3.39 | $3.39 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | None | $6.92 | $6.92 | $7.24 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.75 Median $4.57 Typical High $10.00 | Facility | None | $2.75 | $4.57 | $10.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.75 Median $3.31 Typical High $3.63 | Professional | None | $2.75 | $3.31 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $5.50 Typical High $9.55 | Facility | None | $3.80 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.80 Typical High $5.13 | Professional | None | $1.82 | $3.80 | $5.13 |
Molina Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $3.24 | Professional | None | $2.34 | $3.24 | $3.24 |
Pacific Source Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $7.41 | Facility | None | $3.63 | $4.37 | $7.41 |
Premera BCBS Setting Facility Modifier None Typical Low $3.63 Median $6.31 Typical High $10.00 | Facility | None | $3.63 | $6.31 | $10.00 |
Premera BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.37 | Professional | None | $3.31 | $3.31 | $4.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $10.00 | Facility | None | $3.63 | $5.75 | $10.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.75 Median $3.24 Typical High $3.63 | Professional | None | $2.75 | $3.24 | $3.63 |
United Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $4.37 | Facility | None | $3.63 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $4.07 | Professional | None | $1.51 | $1.51 | $4.07 |
Wellpoint Setting Professional Modifier None Typical Low $1.62 Median $3.63 Typical High $6.61 | Professional | None | $1.62 | $3.63 | $6.61 |
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 $1.70 Median $1.70 Typical High $1.82 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.72 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.72 |
Where Washington sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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· 35th of 51
$3.39
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.