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 $20.89 Median $20.89 Typical High $69.18 | Facility | None | $20.89 | $20.89 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $22.91 | Professional | None | $17.78 | $20.89 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $61.66 | Facility | None | $16.98 | $24.55 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $22.39 | Professional | None | $16.98 | $19.95 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $57.54 | Facility | None | $20.42 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $31.62 | Professional | None | $12.02 | $19.95 | $31.62 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $19.50 | Professional | None | $14.45 | $19.50 | $19.50 |
Pacific Source Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $44.67 | Facility | None | $22.39 | $26.92 | $44.67 |
Premera BCBS Setting Facility Modifier None Typical Low $22.39 Median $38.90 Typical High $61.66 | Facility | None | $22.39 | $38.90 | $61.66 |
Premera BCBS Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $26.92 | Professional | None | $17.78 | $19.95 | $26.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $61.66 | Facility | None | $22.39 | $33.88 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $22.39 | Professional | None | $16.98 | $19.95 | $22.39 |
United Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $25.12 | Professional | None | $9.33 | $9.33 | $25.12 |
Wellpoint Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $40.74 | Professional | None | $10.00 | $22.39 | $40.74 |
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 $10.47 Median $10.47 Typical High $11.48 | Professional | 52 · Reduced service | $10.47 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.68 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.68 |
Where Washington sits
The same service costs 3.2 times more in Alaska than in New York. 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
$20.89
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.