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 $16.60 Median $16.60 Typical High $70.79 | Facility | None | $16.60 | $16.60 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | None | $16.60 | $16.60 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $13.18 Median $21.88 Typical High $48.98 | Facility | None | $13.18 | $21.88 | $48.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $17.78 | Professional | None | $13.18 | $15.85 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $31.62 Typical High $45.71 | Facility | None | $18.20 | $31.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $25.70 | Professional | None | $10.72 | $18.62 | $25.70 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | None | $11.22 | $15.49 | $15.49 |
Pacific Source Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $35.48 | Facility | None | $17.78 | $19.50 | $35.48 |
Premera BCBS Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $48.98 | Facility | None | $17.78 | $30.90 | $48.98 |
Premera BCBS Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $21.38 | Professional | None | $15.85 | $15.85 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $48.98 | Facility | None | $17.78 | $28.84 | $48.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.18 Median $15.85 Typical High $17.78 | Professional | None | $13.18 | $15.85 | $17.78 |
United Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $21.38 | Facility | None | $17.78 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $19.95 | Professional | None | $7.41 | $7.94 | $19.95 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $17.78 Typical High $31.62 | Professional | None | $7.94 | $17.78 | $31.62 |
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 $8.32 Median $8.32 Typical High $10.47 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | 53 · Discontinued | $3.31 | $3.31 | $4.17 |
Where Washington sits
The same service costs 3.1 times more in Kansas than in Maryland. 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· 30th of 51
$16.60
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.