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 $16.22 Median $16.60 Typical High $154.88 | Facility | None | $16.22 | $16.60 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $23.99 | Professional | None | $14.45 | $16.22 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | None | $10.47 | $10.72 | $10.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $47.86 | Facility | None | $12.88 | $19.95 | $47.86 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | None | $12.88 | $15.49 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $31.62 Typical High $43.65 | Facility | None | $9.33 | $31.62 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $23.44 | Professional | None | $9.12 | $18.20 | $23.44 |
Pacific Source Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Facility | None | $17.38 | $17.38 | $20.89 |
Premera BCBS Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $51.29 | Facility | None | $17.38 | $30.20 | $51.29 |
Premera BCBS Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $20.89 | Professional | None | $14.13 | $15.49 | $20.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.38 Median $25.70 Typical High $47.86 | Facility | None | $17.38 | $25.70 | $47.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $17.38 | Professional | None | $12.88 | $15.49 | $17.38 |
United Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $20.89 | Facility | None | $17.38 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $17.38 | Professional | None | $7.24 | $7.24 | $17.38 |
Wellpoint Setting Professional Modifier None Typical Low $7.76 Median $17.38 Typical High $30.90 | Professional | None | $7.76 | $17.38 | $30.90 |
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 $8.13 Median $8.13 Typical High $8.32 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.39 |
Where Washington sits
The same service costs 4.0 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· 27th of 51
$16.22
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.