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 $8.32 Median $8.32 Typical High $26.92 | Facility | None | $8.32 | $8.32 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | None | $8.32 | $8.32 | $10.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $23.99 | Facility | None | $6.61 | $10.00 | $23.99 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.71 | Professional | None | $6.61 | $7.94 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $15.14 Typical High $22.91 | Facility | None | $9.12 | $15.14 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $12.30 | Professional | None | $5.13 | $9.33 | $12.30 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $7.76 Typical High $7.76 | Professional | None | $5.62 | $7.76 | $7.76 |
Pacific Source Setting Facility Modifier None Typical Low $8.71 Median $9.33 Typical High $17.38 | Facility | None | $8.71 | $9.33 | $17.38 |
Pacific Source Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Premera BCBS Setting Facility Modifier None Typical Low $8.71 Median $15.49 Typical High $23.99 | Facility | None | $8.71 | $15.49 | $23.99 |
Premera BCBS Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | None | $7.94 | $7.94 | $10.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $8.71 Median $14.45 Typical High $23.99 | Facility | None | $8.71 | $14.45 | $23.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.71 | Professional | None | $6.61 | $7.94 | $8.71 |
United Setting Facility Modifier None Typical Low $8.71 Median $10.47 Typical High $10.47 | Facility | None | $8.71 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $9.77 | Professional | None | $3.72 | $3.98 | $9.77 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $8.71 Typical High $15.85 | Professional | None | $3.98 | $8.71 | $15.85 |
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 $4.17 Median $4.17 Typical High $4.90 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.00 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.00 |
Where Washington sits
The same service costs 3.5 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· 27th of 51
$8.32
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.