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 $26.30 Median $39.81 Typical High $107.15 | Facility | None | $26.30 | $39.81 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $33.11 | Professional | None | $25.70 | $26.30 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $77.62 | Facility | None | $20.89 | $32.36 | $77.62 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $28.18 | Professional | None | $20.89 | $25.12 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $51.29 Typical High $70.79 | Facility | None | $15.14 | $51.29 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $38.02 | Professional | None | $14.45 | $17.38 | $38.02 |
Pacific Source Setting Facility Modifier None Typical Low $28.18 Median $30.90 Typical High $52.48 | Facility | None | $28.18 | $30.90 | $52.48 |
Premera BCBS Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $83.18 | Facility | None | $28.18 | $48.98 | $83.18 |
Premera BCBS Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | None | $22.91 | $25.12 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.18 Median $41.69 Typical High $77.62 | Facility | None | $28.18 | $41.69 | $77.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $28.18 | Professional | None | $20.89 | $25.12 | $28.18 |
United Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $33.88 | Facility | None | $28.18 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $28.18 | Professional | None | $11.75 | $11.75 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $12.59 Median $28.18 Typical High $50.12 | Professional | None | $12.59 | $28.18 | $50.12 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 25th of 51
$26.30
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.