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 $21.38 Median $21.38 Typical High $70.79 | Facility | None | $21.38 | $21.38 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | None | $21.38 | $21.38 | $22.39 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $63.10 | Facility | None | $17.38 | $25.12 | $63.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $22.91 | Professional | None | $17.38 | $20.89 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $58.88 | Facility | None | $21.88 | $33.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $32.36 | Professional | None | $7.94 | $14.13 | $32.36 |
Molina Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $20.42 | Professional | None | $14.79 | $20.42 | $20.42 |
Pacific Source Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $45.71 | Facility | None | $22.91 | $25.70 | $45.71 |
Premera BCBS Setting Facility Modifier None Typical Low $22.91 Median $39.81 Typical High $63.10 | Facility | None | $22.91 | $39.81 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $27.54 | Professional | None | $18.20 | $20.89 | $27.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $63.10 | Facility | None | $22.91 | $34.67 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $22.91 | Professional | None | $17.38 | $20.42 | $22.91 |
United Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $27.54 | Facility | None | $22.91 | $27.54 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $23.99 | Professional | None | $9.55 | $9.55 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $10.23 Median $22.91 Typical High $41.69 | Professional | None | $10.23 | $22.91 | $41.69 |
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 $10.72 Median $10.72 Typical High $11.22 | Professional | 52 · Reduced service | $10.72 | $10.72 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.47 |
Where Washington sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 24th of 51
$21.38
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.