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 $26.92 Median $26.92 Typical High $89.13 | Facility | None | $26.92 | $26.92 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | None | $26.92 | $26.92 | $34.67 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $21.38 Median $33.11 Typical High $79.43 | Facility | None | $21.38 | $33.11 | $79.43 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $28.84 | Professional | None | $21.38 | $25.70 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $52.48 Typical High $74.13 | Facility | None | $30.20 | $52.48 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $41.69 | Professional | None | $18.20 | $30.20 | $41.69 |
Molina Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $25.12 | Professional | None | $18.62 | $25.12 | $25.12 |
Pacific Source Setting Facility Modifier None Typical Low $28.84 Median $32.36 Typical High $58.88 | Facility | None | $28.84 | $32.36 | $58.88 |
Pacific Source Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | None | $28.84 | $28.84 | $31.62 |
Premera BCBS Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $79.43 | Facility | None | $28.84 | $50.12 | $79.43 |
Premera BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $79.43 | Facility | None | $28.84 | $47.86 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $28.84 | Professional | None | $21.38 | $25.70 | $28.84 |
United Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $34.67 | Facility | None | $28.84 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $32.36 | Professional | None | $12.02 | $12.88 | $32.36 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $28.84 Typical High $52.48 | Professional | None | $12.88 | $28.84 | $52.48 |
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 $13.49 Median $13.49 Typical High $17.38 | Professional | 52 · Reduced service | $13.49 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.92 |
Where Washington sits
The same service costs 5.5 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
$26.92
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.