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 $66.07 Median $66.07 Typical High $213.80 | Facility | None | $66.07 | $66.07 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $52.48 Median $75.86 Typical High $190.55 | Facility | None | $52.48 | $75.86 | $190.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $69.18 | Professional | None | $52.48 | $63.10 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $181.97 | Facility | None | $102.33 | $112.20 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $95.50 | Professional | None | $35.48 | $72.44 | $95.50 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $141.25 | Facility | None | $69.18 | $69.18 | $141.25 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $208.93 | Facility | None | $69.18 | $123.03 | $208.93 |
Premera BCBS Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $83.18 | Professional | None | $57.54 | $63.10 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $190.55 | Facility | None | $69.18 | $109.65 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $69.18 | Professional | None | $52.48 | $63.10 | $69.18 |
United Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $83.18 | Facility | None | $69.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $69.18 | Professional | None | $29.51 | $29.51 | $69.18 |
Wellpoint Setting Professional Modifier None Typical Low $31.62 Median $69.18 Typical High $125.89 | Professional | None | $31.62 | $69.18 | $125.89 |
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 $32.36 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $32.36 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 25th of 51
$66.07
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.