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 $12.30 Median $12.30 Typical High $40.74 | Facility | None | $12.30 | $12.30 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | None | $12.30 | $12.30 | $12.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $36.31 | Facility | None | $9.77 | $14.45 | $36.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | None | $9.77 | $11.75 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $19.50 Typical High $33.11 | Facility | None | $10.00 | $19.50 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $17.78 | Professional | None | $6.76 | $9.77 | $17.78 |
Molina Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $11.48 | Professional | None | $8.51 | $11.48 | $11.48 |
Pacific Source Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $26.92 | Facility | None | $13.18 | $14.45 | $26.92 |
Premera BCBS Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $36.31 | Facility | None | $13.18 | $22.91 | $36.31 |
Premera BCBS Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $15.85 | Professional | None | $10.47 | $11.75 | $15.85 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $19.95 Typical High $36.31 | Facility | None | $13.18 | $19.95 | $36.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $13.18 | Professional | None | $9.77 | $11.75 | $13.18 |
United Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $15.85 | Facility | None | $13.18 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $13.18 | Professional | None | $4.57 | $5.50 | $13.18 |
Wellpoint Setting Professional Modifier None Typical Low $5.89 Median $13.18 Typical High $23.44 | Professional | None | $5.89 | $13.18 | $23.44 |
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 $6.17 Median $6.17 Typical High $6.31 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.51 |
Where Washington sits
The same service costs 4.7 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
$12.30
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.