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 $26.30 Median $58.88 Typical High $125.89 | Facility | None | $26.30 | $58.88 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | None | $26.30 | $26.30 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.89 Median $34.67 Typical High $75.86 | Facility | None | $20.89 | $34.67 | $75.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $27.54 | Professional | None | $20.89 | $25.12 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $83.18 | Facility | None | $28.84 | $50.12 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $39.81 | Professional | None | $17.38 | $29.51 | $39.81 |
Molina Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $24.55 | Professional | None | $17.78 | $24.55 | $24.55 |
Pacific Source Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $56.23 | Facility | None | $27.54 | $33.11 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $75.86 | Facility | None | $27.54 | $48.98 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | None | $25.12 | $25.12 | $33.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $75.86 | Facility | None | $27.54 | $45.71 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $27.54 | Professional | None | $20.89 | $25.12 | $27.54 |
United Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $33.11 | Facility | None | $27.54 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $30.90 | Professional | None | $11.75 | $12.59 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $50.12 | Professional | None | $12.59 | $27.54 | $50.12 |
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 $13.18 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.61 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 31st of 51
$26.30
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.