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 $15.85 Median $15.85 Typical High $74.13 | Facility | None | $15.85 | $15.85 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | None | $15.85 | $15.85 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $45.71 | Facility | None | $12.59 | $20.89 | $45.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.60 | Professional | None | $12.59 | $15.14 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $42.66 | Facility | None | $17.38 | $30.20 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $17.78 Typical High $23.99 | Professional | None | $10.47 | $17.78 | $23.99 |
Molina Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $14.79 | Professional | None | $10.72 | $14.79 | $14.79 |
Pacific Source Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $33.88 | Facility | None | $16.60 | $19.95 | $33.88 |
Pacific Source Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Premera BCBS Setting Facility Modifier None Typical Low $16.60 Median $29.51 Typical High $45.71 | Facility | None | $16.60 | $29.51 | $45.71 |
Premera BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | None | $15.14 | $15.14 | $19.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $45.71 | Facility | None | $16.60 | $27.54 | $45.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $16.60 | Professional | None | $12.59 | $15.14 | $16.60 |
United Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $19.95 | Facility | None | $16.60 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $18.62 | Professional | None | $7.08 | $7.59 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $16.60 Typical High $30.20 | Professional | None | $7.59 | $16.60 | $30.20 |
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 $7.94 Median $7.94 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.98 |
Where Washington sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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
$15.85
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.