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 $10.47 | Professional | None | $8.32 | $8.32 | $10.47 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $6.61 Median $9.77 Typical High $24.55 | Facility | None | $6.61 | $9.77 | $24.55 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.91 | Professional | None | $6.61 | $7.94 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $22.91 | Facility | None | $9.12 | $16.22 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $9.33 Typical High $12.30 | Professional | None | $5.50 | $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 $8.91 Median $9.33 Typical High $17.78 | Facility | None | $8.91 | $9.33 | $17.78 |
Premera BCBS Setting Facility Modifier None Typical Low $8.91 Median $15.49 Typical High $24.55 | Facility | None | $8.91 | $15.49 | $24.55 |
Premera BCBS Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | None | $7.94 | $7.94 | $10.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $8.91 Median $14.45 Typical High $24.55 | Facility | None | $8.91 | $14.45 | $24.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $8.91 | Professional | None | $6.61 | $7.94 | $8.91 |
United Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $10.72 | Facility | None | $8.91 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $3.72 Median $3.98 Typical High $10.00 | Professional | None | $3.72 | $3.98 | $10.00 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $8.91 Typical High $15.85 | Professional | None | $3.98 | $8.91 | $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 $5.25 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.14 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.14 |
Where Washington sits
The same service costs 3.8 times more in Kansas than in Maryland. 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· 32nd 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.