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 $14.45 Median $14.45 Typical High $47.86 | Facility | None | $14.45 | $14.45 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | None | $14.45 | $14.45 | $18.20 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $42.66 | Facility | None | $11.48 | $17.78 | $42.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $15.49 | Professional | None | $11.48 | $13.80 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $39.81 | Facility | None | $16.22 | $25.70 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.22 Typical High $22.39 | Professional | None | $8.91 | $16.22 | $22.39 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $13.49 | Professional | None | $10.00 | $13.49 | $13.49 |
Pacific Source Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $30.90 | Facility | None | $15.49 | $19.50 | $30.90 |
Premera BCBS Setting Facility Modifier None Typical Low $15.49 Median $26.92 Typical High $42.66 | Facility | None | $15.49 | $26.92 | $42.66 |
Premera BCBS Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $18.62 | Professional | None | $13.80 | $13.80 | $18.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.49 Median $25.12 Typical High $42.66 | Facility | None | $15.49 | $25.12 | $42.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $15.49 | Professional | None | $11.48 | $13.80 | $15.49 |
United Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $18.62 | Facility | None | $15.49 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $6.46 Median $6.92 Typical High $17.38 | Professional | None | $6.46 | $6.92 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $6.92 Median $15.49 Typical High $27.54 | Professional | None | $6.92 | $15.49 | $27.54 |
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 $7.24 Median $7.24 Typical High $8.51 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.39 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.39 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | GY · Excluded by law | $10.00 | $10.00 | $10.00 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 33rd of 51
$14.45
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.