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 $17.78 Median $17.78 Typical High $26.30 | Facility | None | $17.78 | $17.78 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $18.20 | Professional | None | $12.30 | $17.78 | $18.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.13 Median $20.42 Typical High $51.29 | Facility | None | $14.13 | $20.42 | $51.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $18.62 | Professional | None | $14.13 | $16.98 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $48.98 | Facility | None | $16.98 | $27.54 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $25.70 | Professional | None | $9.55 | $19.05 | $25.70 |
Molina Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $16.60 | Professional | None | $12.02 | $16.60 | $16.60 |
Pacific Source Setting Facility Modifier None Typical Low $18.62 Median $21.38 Typical High $37.15 | Facility | None | $18.62 | $21.38 | $37.15 |
Premera BCBS Setting Facility Modifier None Typical Low $18.62 Median $33.11 Typical High $51.29 | Facility | None | $18.62 | $33.11 | $51.29 |
Premera BCBS Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $22.39 | Professional | None | $14.79 | $16.98 | $22.39 |
Regence BlueShield Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $51.29 | Facility | None | $18.62 | $28.18 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $18.62 | Professional | None | $14.13 | $16.98 | $18.62 |
United Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $22.39 | Facility | None | $18.62 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.94 Typical High $18.62 | Professional | None | $7.76 | $7.94 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $18.62 Typical High $33.88 | Professional | None | $8.51 | $18.62 | $33.88 |
3 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 $8.91 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.63 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.63 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 90 · Outside lab | $11.75 | $11.75 | $11.75 |
Where Washington sits
The same service costs 3.6 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
$17.78
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.