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 $46.77 Median $46.77 Typical High $151.36 | Facility | None | $46.77 | $46.77 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | None | $46.77 | $46.77 | $57.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $134.90 | Facility | None | $37.15 | $64.57 | $134.90 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $41.69 Median $245.47 Typical High $371.54 | Professional | None | $41.69 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $158.49 | Facility | None | $72.44 | $89.13 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $52.48 Typical High $67.61 | Professional | None | $30.90 | $52.48 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $123.03 | Professional | None | $39.81 | $57.54 | $123.03 |
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 $50.12 Median $54.95 Typical High $109.65 | Facility | None | $50.12 | $54.95 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $134.90 | Facility | None | $50.12 | $87.10 | $134.90 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | None | $44.67 | $44.67 | $58.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $134.90 | Facility | None | $50.12 | $81.28 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | None | $41.69 | $50.12 | $57.54 |
United Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $58.88 | Facility | None | $50.12 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $54.95 | Professional | None | $20.89 | $20.89 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $22.39 Median $50.12 Typical High $89.13 | Professional | None | $22.39 | $50.12 | $89.13 |
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 $23.44 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $9.33 | $9.33 | $11.48 |
Where Washington sits
The same service costs 5.8 times more in Texas than in New Mexico. 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
$54.95
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.