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 $9.12 Median $9.12 Typical High $30.20 | Facility | None | $9.12 | $9.12 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | None | $9.12 | $9.12 | $10.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.41 Median $11.22 Typical High $26.92 | Facility | None | $7.41 | $11.22 | $26.92 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $9.77 | Professional | None | $7.41 | $8.91 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $29.51 | Facility | None | $10.23 | $16.60 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.47 Typical High $13.80 | Professional | None | $5.62 | $10.47 | $13.80 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $8.71 | Professional | None | $6.31 | $8.71 | $8.71 |
Pacific Source Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $19.50 | Facility | None | $9.77 | $10.23 | $19.50 |
Premera BCBS Setting Facility Modifier None Typical Low $9.77 Median $16.98 Typical High $26.92 | Facility | None | $9.77 | $16.98 | $26.92 |
Premera BCBS Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.75 | Professional | None | $8.91 | $8.91 | $11.75 |
Regence BlueShield Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $26.92 | Facility | None | $9.77 | $16.22 | $26.92 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $9.77 | Professional | None | $7.41 | $8.91 | $9.77 |
United Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $11.75 | Facility | None | $9.77 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $4.37 Typical High $10.96 | Professional | None | $4.07 | $4.37 | $10.96 |
Wellpoint Setting Professional Modifier None Typical Low $4.37 Median $9.77 Typical High $17.78 | Professional | None | $4.37 | $9.77 | $17.78 |
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 $4.57 Median $4.57 Typical High $5.50 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.19 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.19 |
Where Washington sits
The same service costs 4.4 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
$9.12
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.