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 $32.36 Median $32.36 Typical High $104.71 | Facility | None | $32.36 | $32.36 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $93.33 | Facility | None | $25.70 | $38.02 | $93.33 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $33.88 | Professional | None | $25.70 | $30.90 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $87.10 | Facility | None | $50.12 | $72.44 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $46.77 | Professional | None | $17.78 | $20.89 | $46.77 |
Pacific Source Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $69.18 | Facility | None | $33.88 | $40.74 | $69.18 |
Premera BCBS Setting Facility Modifier None Typical Low $33.88 Median $60.26 Typical High $102.33 | Facility | None | $33.88 | $60.26 | $102.33 |
Premera BCBS Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $40.74 | Professional | None | $28.84 | $30.90 | $40.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $93.33 | Facility | None | $33.88 | $52.48 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $33.88 | Professional | None | $25.70 | $30.90 | $33.88 |
United Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $40.74 | Facility | None | $33.88 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $33.88 | Professional | None | $14.45 | $14.45 | $33.88 |
Wellpoint Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $61.66 | Professional | None | $15.49 | $33.88 | $61.66 |
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 $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Where Washington sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 23rd of 51
$32.36
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.