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 $12.02 Median $12.02 Typical High $39.81 | Facility | None | $12.02 | $12.02 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.49 | Professional | None | $12.02 | $12.02 | $15.49 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $35.48 | Facility | None | $9.55 | $14.79 | $35.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $12.88 | Professional | None | $9.55 | $11.48 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $23.44 Typical High $33.11 | Facility | None | $13.49 | $23.44 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $13.49 Typical High $18.62 | Professional | None | $7.94 | $13.49 | $18.62 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $11.22 | Professional | None | $8.32 | $11.22 | $11.22 |
Pacific Source Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $26.30 | Facility | None | $12.88 | $15.49 | $26.30 |
Premera BCBS Setting Facility Modifier None Typical Low $12.88 Median $22.39 Typical High $35.48 | Facility | None | $12.88 | $22.39 | $35.48 |
Premera BCBS Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | None | $11.48 | $11.48 | $15.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $35.48 | Facility | None | $12.88 | $21.38 | $35.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $12.88 | Professional | None | $9.55 | $11.48 | $12.88 |
United Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $15.49 | Facility | None | $12.88 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.75 Typical High $14.45 | Professional | None | $5.37 | $5.75 | $14.45 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $12.88 Typical High $22.91 | Professional | None | $5.75 | $12.88 | $22.91 |
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 $6.03 Median $6.03 Typical High $7.76 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $3.09 | Professional | 53 · Discontinued | $2.40 | $2.40 | $3.09 |
Where Washington sits
The same service costs 3.2 times more in Kansas than in Maryland. 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· 33rd of 51
$12.02
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.