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 $21.38 Median $21.38 Typical High $69.18 | Facility | None | $21.38 | $21.38 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | None | $21.38 | $21.38 | $26.92 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $61.66 | Facility | None | $16.98 | $26.30 | $61.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $22.91 | Professional | None | $16.98 | $20.42 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $58.88 | Facility | None | $23.44 | $40.74 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $32.36 | Professional | None | $14.13 | $23.99 | $32.36 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $19.95 | Professional | None | $14.45 | $19.95 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $45.71 | Facility | None | $22.91 | $26.92 | $45.71 |
Pacific Source Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $22.91 Median $39.81 Typical High $61.66 | Facility | None | $22.91 | $39.81 | $61.66 |
Premera BCBS Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | None | $20.42 | $20.42 | $26.92 |
Regence BlueShield Setting Facility Modifier None Typical Low $22.91 Median $37.15 Typical High $61.66 | Facility | None | $22.91 | $37.15 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $22.91 | Professional | None | $16.98 | $20.42 | $22.91 |
United Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $26.92 | Facility | None | $22.91 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $25.12 | Professional | None | $9.55 | $10.23 | $25.12 |
Wellpoint Setting Professional Modifier None Typical Low $10.23 Median $22.91 Typical High $40.74 | Professional | None | $10.23 | $22.91 | $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 $10.72 Median $10.72 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.37 |
Where Washington sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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
$21.38
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.