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 $51.29 Median $51.29 Typical High $165.96 | Facility | None | $51.29 | $51.29 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None | $51.29 | $51.29 | $75.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $147.91 | Facility | None | $40.74 | $60.26 | $147.91 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $53.70 | Professional | None | $40.74 | $48.98 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $208.93 | Facility | None | $79.43 | $112.20 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $56.23 Typical High $74.13 | Professional | None | $27.54 | $56.23 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $109.65 | Facility | None | $53.70 | $53.70 | $109.65 |
Premera BCBS Setting Facility Modifier None Typical Low $53.70 Median $95.50 Typical High $162.18 | Facility | None | $53.70 | $95.50 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $64.57 | Professional | None | $44.67 | $48.98 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $53.70 Median $85.11 Typical High $147.91 | Facility | None | $53.70 | $85.11 | $147.91 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $53.70 | Professional | None | $40.74 | $48.98 | $53.70 |
United Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $64.57 | Facility | None | $53.70 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $53.70 | Professional | None | $22.91 | $22.91 | $53.70 |
Wellpoint Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $97.72 | Professional | None | $24.55 | $53.70 | $97.72 |
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 $25.70 Median $25.70 Typical High $32.36 | Professional | 52 · Reduced service | $25.70 | $25.70 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $12.88 | Professional | 53 · Discontinued | $10.23 | $10.23 | $12.88 |
Where Washington sits
The same service costs 5.6 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· 26th of 51
$51.29
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.