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 $15.85 Median $15.85 Typical High $51.29 | Facility | None | $15.85 | $15.85 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | None | $15.85 | $15.85 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $46.77 | Facility | None | $12.59 | $18.62 | $46.77 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.98 | Professional | None | $12.59 | $15.14 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $30.90 Typical High $43.65 | Facility | None | $11.75 | $30.90 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $23.99 | Professional | None | $10.47 | $15.85 | $23.99 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $14.79 | Professional | None | $10.72 | $14.79 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $33.88 | Facility | None | $16.98 | $25.12 | $33.88 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $46.77 | Facility | None | $16.98 | $29.51 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $20.42 | Professional | None | $13.18 | $15.14 | $20.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $46.77 | Facility | None | $16.98 | $26.30 | $46.77 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.98 | Professional | None | $12.59 | $15.14 | $16.98 |
United Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $20.42 | Facility | None | $16.98 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $19.05 | Professional | None | $7.08 | $7.59 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $16.98 Typical High $30.20 | Professional | None | $7.59 | $16.98 | $30.20 |
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 $7.94 Median $7.94 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.07 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.07 |
Where Washington sits
The same service costs 18.6 times more in Kansas 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· 34th of 51
$15.85
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.