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 $57.54 Median $57.54 Typical High $190.55 | Facility | None | $57.54 | $57.54 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $60.26 | Professional | None | $39.81 | $57.54 | $60.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $169.82 | Facility | None | $45.71 | $67.61 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $61.66 | Professional | None | $45.71 | $54.95 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $154.88 | Facility | None | $44.67 | $91.20 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $83.18 | Professional | None | $30.90 | $42.66 | $83.18 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | None | $39.81 | $53.70 | $53.70 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $123.03 | Facility | None | $61.66 | $67.61 | $123.03 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $169.82 | Facility | None | $61.66 | $107.15 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $74.13 | Professional | None | $48.98 | $54.95 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $169.82 | Facility | None | $61.66 | $91.20 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $61.66 | Professional | None | $45.71 | $54.95 | $61.66 |
United Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $74.13 | Facility | None | $61.66 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $61.66 | Professional | None | $19.95 | $25.70 | $61.66 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $109.65 | Professional | None | $27.54 | $61.66 | $109.65 |
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 $28.84 Median $28.84 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.02 |
Where Washington sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 21st of 51
$57.54
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.