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 $43.65 Median $43.65 Typical High $144.54 | Facility | None | $43.65 | $43.65 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | None | $43.65 | $43.65 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $128.82 | Facility | None | $34.67 | $60.26 | $128.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $39.81 Median $234.42 Typical High $346.74 | Professional | None | $39.81 | $234.42 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $138.04 | Facility | None | $67.61 | $77.62 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $63.10 | Professional | None | $26.92 | $48.98 | $63.10 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $102.33 | Facility | None | $46.77 | $46.77 | $102.33 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $141.25 | Facility | None | $46.77 | $81.28 | $141.25 |
Premera BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | None | $41.69 | $41.69 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $128.82 | Facility | None | $46.77 | $72.44 | $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 $19.50 Median $19.50 Typical High $52.48 | Professional | None | $19.50 | $19.50 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $46.77 Typical High $83.18 | Professional | None | $20.89 | $46.77 | $83.18 |
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 $21.88 Median $21.88 Typical High $33.11 | Professional | 52 · Reduced service | $21.88 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $13.18 | Professional | 53 · Discontinued | $8.71 | $8.71 | $13.18 |
Where Washington sits
The same service costs 8.3 times more in Texas 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· 23rd of 51
$48.98
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.