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 $67.61 Median $67.61 Typical High $102.33 | Facility | None | $67.61 | $67.61 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | None | $67.61 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $199.53 | Facility | None | $53.70 | $83.18 | $199.53 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $72.44 | Professional | None | $53.70 | $64.57 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $131.83 Typical High $181.97 | Facility | None | $39.81 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $97.72 | Professional | None | $36.31 | $44.67 | $97.72 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $144.54 | Facility | None | $72.44 | $75.86 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $218.78 | Facility | None | $72.44 | $125.89 | $218.78 |
Premera BCBS Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $87.10 | Professional | None | $58.88 | $64.57 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $199.53 | Facility | None | $72.44 | $107.15 | $199.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $72.44 | Professional | None | $53.70 | $64.57 | $72.44 |
United Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $87.10 | Facility | None | $72.44 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $72.44 | Professional | None | $30.20 | $30.20 | $72.44 |
Wellpoint Setting Professional Modifier None Typical Low $32.36 Median $72.44 Typical High $128.82 | Professional | None | $32.36 | $72.44 | $128.82 |
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 $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $13.49 | $14.13 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 27th of 51
$67.61
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.