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 $18.62 Median $18.62 Typical High $60.26 | Facility | None | $18.62 | $18.62 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | None | $18.62 | $18.62 | $21.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.79 Median $22.91 Typical High $53.70 | Facility | None | $14.79 | $22.91 | $53.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $19.95 | Professional | None | $14.79 | $17.78 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $51.29 | Facility | None | $20.42 | $33.11 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $20.89 Typical High $28.18 | Professional | None | $11.22 | $20.89 | $28.18 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $17.38 | Professional | None | $12.59 | $17.38 | $17.38 |
Pacific Source Setting Facility Modifier None Typical Low $19.95 Median $21.88 Typical High $38.90 | Facility | None | $19.95 | $21.88 | $38.90 |
Premera BCBS Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $53.70 | Facility | None | $19.95 | $34.67 | $53.70 |
Premera BCBS Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | None | $17.78 | $17.78 | $23.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $53.70 | Facility | None | $19.95 | $32.36 | $53.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $19.95 | Professional | None | $14.79 | $17.78 | $19.95 |
United Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $23.44 | Facility | None | $19.95 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $21.88 | Professional | None | $8.32 | $8.91 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $8.91 Median $19.95 Typical High $35.48 | Professional | None | $8.91 | $19.95 | $35.48 |
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 $9.33 Median $9.33 Typical High $10.72 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.37 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 90 · Outside lab | $12.59 | $12.59 | $12.59 |
Where Washington sits
The same service costs 5.5 times more in Kansas than in Georgia. 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· 28th of 51
$18.62
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.