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 $5.62 Median $5.62 Typical High $27.54 | Facility | None | $5.62 | $5.62 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.32 | Professional | None | $5.62 | $5.62 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $4.17 | Professional | None | $3.72 | $4.17 | $4.17 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.47 Median $7.59 Typical High $16.60 | Facility | None | $4.47 | $7.59 | $16.60 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $6.03 | Professional | None | $4.47 | $5.37 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $10.96 Typical High $19.05 | Facility | None | $6.31 | $10.96 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $6.17 Typical High $8.71 | Professional | None | $3.80 | $6.17 | $8.71 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $5.25 | Professional | None | $3.89 | $5.25 | $5.25 |
Pacific Source Setting Facility Modifier None Typical Low $6.03 Median $6.76 Typical High $12.02 | Facility | None | $6.03 | $6.76 | $12.02 |
Premera BCBS Setting Facility Modifier None Typical Low $6.03 Median $10.47 Typical High $16.60 | Facility | None | $6.03 | $10.47 | $16.60 |
Premera BCBS Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.24 | Professional | None | $5.37 | $5.37 | $7.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.03 Median $10.00 Typical High $16.60 | Facility | None | $6.03 | $10.00 | $16.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $6.03 | Professional | None | $4.47 | $5.37 | $6.03 |
United Setting Facility Modifier None Typical Low $6.03 Median $7.24 Typical High $7.24 | Facility | None | $6.03 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $2.51 Median $2.69 Typical High $6.76 | Professional | None | $2.51 | $2.69 | $6.76 |
Wellpoint Setting Professional Modifier None Typical Low $2.69 Median $6.03 Typical High $10.96 | Professional | None | $2.69 | $6.03 | $10.96 |
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 $2.82 Median $2.82 Typical High $3.63 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.45 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.45 |
Where Washington sits
The same service costs 4.3 times more in Alaska 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· 36th of 51
$5.62
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.