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 $20.42 Median $20.42 Typical High $66.07 | Facility | None | $20.42 | $20.42 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | None | $20.42 | $20.42 | $25.70 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.22 Median $23.99 Typical High $58.88 | Facility | None | $16.22 | $23.99 | $58.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $21.38 | Professional | None | $16.22 | $19.50 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $38.90 Typical High $54.95 | Facility | None | $22.39 | $38.90 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $30.20 | Professional | None | $13.49 | $22.91 | $30.20 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | None | $13.80 | $19.05 | $19.05 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $27.54 Typical High $43.65 | Facility | None | $21.38 | $27.54 | $43.65 |
Premera BCBS Setting Facility Modifier None Typical Low $21.38 Median $38.02 Typical High $58.88 | Facility | None | $21.38 | $38.02 | $58.88 |
Premera BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | None | $19.50 | $19.50 | $25.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.38 Median $35.48 Typical High $58.88 | Facility | None | $21.38 | $35.48 | $58.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $21.38 | Professional | None | $16.22 | $19.50 | $21.38 |
United Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $25.70 | Facility | None | $21.38 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $23.99 | Professional | None | $9.12 | $9.77 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $21.38 Typical High $38.90 | Professional | None | $9.77 | $21.38 | $38.90 |
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 $10.00 Median $10.00 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $5.13 | Professional | 53 · Discontinued | $4.07 | $4.07 | $5.13 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Texas. 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
$20.42
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.