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 $23.99 Median $23.99 Typical High $79.43 | Facility | None | $23.99 | $23.99 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.90 | Professional | None | $23.99 | $23.99 | $30.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.50 Median $29.51 Typical High $70.79 | Facility | None | $19.50 | $29.51 | $70.79 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $25.70 | Professional | None | $19.50 | $23.44 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $66.07 | Facility | None | $26.92 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $27.54 Typical High $37.15 | Professional | None | $15.85 | $27.54 | $37.15 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | None | $16.60 | $22.91 | $22.91 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $28.18 Typical High $42.66 | Facility | None | $25.70 | $28.18 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $70.79 | Facility | None | $25.70 | $44.67 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | None | $23.44 | $23.44 | $30.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $70.79 | Facility | None | $25.70 | $42.66 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $25.70 | Professional | None | $19.50 | $23.44 | $25.70 |
United Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $30.90 | Facility | None | $25.70 | $30.90 | $30.90 |
United Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $28.84 | Professional | None | $10.96 | $11.48 | $28.84 |
Wellpoint Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $46.77 | Professional | None | $11.48 | $25.70 | $46.77 |
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 $12.02 Median $12.02 Typical High $15.49 | Professional | 52 · Reduced service | $12.02 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.17 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.17 |
Where Washington sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 30th of 51
$23.99
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.