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 $8.71 Median $8.71 Typical High $28.18 | Facility | None | $8.71 | $8.71 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.96 | Professional | None | $8.71 | $8.71 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.92 Median $11.48 Typical High $25.12 | Facility | None | $6.92 | $11.48 | $25.12 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $9.12 | Professional | None | $6.92 | $8.32 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $16.60 Typical High $29.51 | Facility | None | $9.55 | $16.60 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.77 Typical High $13.49 | Professional | None | $5.75 | $9.77 | $13.49 |
Molina Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $8.13 | Professional | None | $5.89 | $8.13 | $8.13 |
Pacific Source Setting Facility Modifier None Typical Low $9.12 Median $10.47 Typical High $18.62 | Facility | None | $9.12 | $10.47 | $18.62 |
Pacific Source Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Premera BCBS Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $25.12 | Facility | None | $9.12 | $16.22 | $25.12 |
Premera BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | None | $8.32 | $8.32 | $10.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $9.12 Median $15.14 Typical High $25.12 | Facility | None | $9.12 | $15.14 | $25.12 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $9.12 | Professional | None | $6.92 | $8.32 | $9.12 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $10.96 | Facility | None | $9.12 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $3.89 Median $4.17 Typical High $10.23 | Professional | None | $3.89 | $4.17 | $10.23 |
Wellpoint Setting Professional Modifier None Typical Low $4.17 Median $9.12 Typical High $16.60 | Professional | None | $4.17 | $9.12 | $16.60 |
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 $4.37 Median $4.37 Typical High $5.50 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.19 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.19 |
Where Washington sits
The same service costs 3.6 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
$8.71
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.