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 $18.20 Median $18.20 Typical High $60.26 | Facility | None | $18.20 | $18.20 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | None | $18.20 | $18.20 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $53.70 | Facility | None | $14.45 | $22.39 | $53.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | None | $14.45 | $17.38 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $35.48 Typical High $50.12 | Facility | None | $19.95 | $35.48 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $28.18 | Professional | None | $12.30 | $20.42 | $28.18 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $16.98 | Professional | None | $12.30 | $16.98 | $16.98 |
Pacific Source Setting Facility Modifier None Typical Low $19.50 Median $21.38 Typical High $38.90 | Facility | None | $19.50 | $21.38 | $38.90 |
Premera BCBS Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $53.70 | Facility | None | $19.50 | $33.88 | $53.70 |
Premera BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $23.44 | Professional | None | $17.38 | $17.38 | $23.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.50 Median $32.36 Typical High $53.70 | Facility | None | $19.50 | $32.36 | $53.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $19.50 | Professional | None | $14.45 | $17.38 | $19.50 |
United Setting Facility Modifier None Typical Low $19.50 Median $23.44 Typical High $23.44 | Facility | None | $19.50 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.71 Typical High $21.88 | Professional | None | $8.13 | $8.71 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $8.71 Median $19.50 Typical High $34.67 | Professional | None | $8.71 | $19.50 | $34.67 |
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 $9.12 Median $9.12 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.68 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.68 |
Where Washington sits
The same service costs 3.0 times more in Alaska 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· 32nd of 51
$18.20
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.