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 $30.20 Median $91.20 Typical High $141.25 | Facility | None | $30.20 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | None | $30.20 | $30.20 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.99 Median $37.15 Typical High $89.13 | Facility | None | $23.99 | $37.15 | $89.13 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $32.36 | Professional | None | $23.99 | $28.84 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $58.88 Typical High $83.18 | Facility | None | $33.88 | $58.88 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $46.77 | Professional | None | $20.42 | $33.88 | $46.77 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $28.18 | Professional | None | $20.89 | $28.18 | $28.18 |
Pacific Source Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $64.57 | Facility | None | $32.36 | $45.71 | $64.57 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $89.13 | Facility | None | $32.36 | $56.23 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $89.13 | Facility | None | $32.36 | $53.70 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $32.36 | Professional | None | $23.99 | $28.84 | $32.36 |
United Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $38.90 | Facility | None | $32.36 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $36.31 | Professional | None | $13.49 | $14.45 | $36.31 |
Wellpoint Setting Professional Modifier None Typical Low $14.45 Median $32.36 Typical High $57.54 | Professional | None | $14.45 | $32.36 | $57.54 |
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 $15.14 Median $15.14 Typical High $19.50 | Professional | 52 · Reduced service | $15.14 | $15.14 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $6.03 | $7.76 |
Where Washington sits
The same service costs 4.1 times more in Kansas 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· 32nd of 51
$30.90
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.