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 $19.50 Median $19.50 Typical High $63.10 | Facility | None | $19.50 | $19.50 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | None | $19.50 | $19.50 | $24.55 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $56.23 | Facility | None | $15.49 | $22.91 | $56.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $20.42 | Professional | None | $15.49 | $18.62 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $37.15 Typical High $53.70 | Facility | None | $21.38 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $30.20 | Professional | None | $12.88 | $21.88 | $30.20 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | None | $13.18 | $18.20 | $18.20 |
Pacific Source Setting Facility Modifier None Typical Low $20.42 Median $23.44 Typical High $41.69 | Facility | None | $20.42 | $23.44 | $41.69 |
Premera BCBS Setting Facility Modifier None Typical Low $20.42 Median $36.31 Typical High $56.23 | Facility | None | $20.42 | $36.31 | $56.23 |
Premera BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | None | $18.62 | $18.62 | $24.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $56.23 | Facility | None | $20.42 | $33.88 | $56.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $20.42 | Professional | None | $15.49 | $18.62 | $20.42 |
United Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $24.55 | Facility | None | $20.42 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $8.71 Median $9.33 Typical High $22.91 | Professional | None | $8.71 | $9.33 | $22.91 |
Wellpoint Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $37.15 | Professional | None | $9.33 | $20.42 | $37.15 |
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 $9.77 Median $9.77 Typical High $12.30 | Professional | 52 · Reduced service | $9.77 | $9.77 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.90 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.90 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 27th of 51
$19.50
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.