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 $5.13 Median $8.13 Typical High $616.60 | Facility | None | $5.13 | $8.13 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.17 Median $6.31 Typical High $15.14 | Facility | None | $4.17 | $6.31 | $15.14 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $5.50 | Professional | None | $4.17 | $4.90 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $16.60 | Facility | None | $5.75 | $10.00 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $7.76 | Professional | None | $3.47 | $5.89 | $7.76 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $4.79 | Professional | None | $3.55 | $4.79 | $4.79 |
Pacific Source Setting Facility Modifier None Typical Low $5.50 Median $6.61 Typical High $11.48 | Facility | None | $5.50 | $6.61 | $11.48 |
Pacific Source Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.03 | Professional | None | $5.50 | $5.50 | $6.03 |
Premera BCBS Setting Facility Modifier None Typical Low $5.50 Median $9.55 Typical High $15.14 | Facility | None | $5.50 | $9.55 | $15.14 |
Premera BCBS Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $6.61 | Professional | None | $4.90 | $4.90 | $6.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $5.50 Median $9.12 Typical High $15.14 | Facility | None | $5.50 | $9.12 | $15.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.17 Median $4.90 Typical High $5.50 | Professional | None | $4.17 | $4.90 | $5.50 |
United Setting Facility Modifier None Typical Low $5.50 Median $6.61 Typical High $6.61 | Facility | None | $5.50 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.75 Typical High $10.96 | Professional | None | $2.29 | $2.75 | $10.96 |
Wellpoint Setting Professional Modifier None Typical Low $2.45 Median $5.50 Typical High $10.00 | Professional | None | $2.45 | $5.50 | $10.00 |
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 $2.57 Median $2.57 Typical High $3.31 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.32 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.32 |
Where Washington sits
The same service costs 2.9 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· 35th of 51
$5.25
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.