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 $44.67 Median $44.67 Typical High $144.54 | Facility | None | $44.67 | $44.67 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $95.50 | Professional | None | $44.67 | $44.67 | $95.50 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $128.82 | Facility | None | $35.48 | $61.66 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $39.81 Median $234.42 Typical High $354.81 | Professional | None | $39.81 | $234.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $123.03 | Facility | None | $69.18 | $75.86 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $64.57 | Professional | None | $23.99 | $50.12 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $117.49 | Professional | None | $38.02 | $54.95 | $117.49 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $75.86 | Professional | None | $38.02 | $41.69 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $104.71 | Facility | None | $46.77 | $46.77 | $104.71 |
Premera BCBS Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $158.49 | Facility | None | $53.70 | $83.18 | $158.49 |
Premera BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | None | $42.66 | $42.66 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $128.82 | Facility | None | $46.77 | $74.13 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $56.23 | Professional | None | $39.81 | $46.77 | $56.23 |
United Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $56.23 | Facility | None | $46.77 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $52.48 | Professional | None | $19.95 | $19.95 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $46.77 Typical High $85.11 | Professional | None | $21.38 | $46.77 | $85.11 |
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 $22.39 Median $22.39 Typical High $33.11 | Professional | 52 · Reduced service | $22.39 | $22.39 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | 53 · Discontinued | $8.91 | $8.91 | $13.18 |
Where Washington sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 24th of 51
$50.12
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.