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 $36.31 Median $36.31 Typical High $154.88 | Facility | None | $36.31 | $36.31 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | None | $36.31 | $36.31 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $104.71 | Facility | None | $28.84 | $47.86 | $104.71 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $38.90 | Professional | None | $28.84 | $34.67 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $100.00 | Facility | None | $39.81 | $69.18 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $54.95 | Professional | None | $23.99 | $40.74 | $54.95 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $33.88 | Professional | None | $24.55 | $33.88 | $33.88 |
Pacific Source Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $77.62 | Facility | None | $38.90 | $38.90 | $77.62 |
Pacific Source Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Premera BCBS Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $104.71 | Facility | None | $38.90 | $67.61 | $104.71 |
Premera BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | None | $34.67 | $34.67 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $104.71 | Facility | None | $38.90 | $63.10 | $104.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $38.90 | Professional | None | $28.84 | $34.67 | $38.90 |
United Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $45.71 | Facility | None | $38.90 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $16.22 Median $17.38 Typical High $42.66 | Professional | None | $16.22 | $17.38 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $38.90 Typical High $69.18 | Professional | None | $17.38 | $38.90 | $69.18 |
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 $18.20 Median $18.20 Typical High $22.91 | Professional | 52 · Reduced service | $18.20 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $9.12 | Professional | 53 · Discontinued | $7.24 | $7.24 | $9.12 |
Where Washington sits
The same service costs 3.6 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
$37.15
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.