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 $10.00 Median $10.00 Typical High $33.11 | Facility | None | $10.00 | $10.00 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | None | $10.00 | $10.00 | $12.30 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $8.13 Median $12.30 Typical High $29.51 | Facility | None | $8.13 | $12.30 | $29.51 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $10.72 | Professional | None | $8.13 | $9.55 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $27.54 | Facility | None | $11.22 | $18.62 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.48 Typical High $15.49 | Professional | None | $6.31 | $11.48 | $15.49 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $9.33 Typical High $9.33 | Professional | None | $6.92 | $9.33 | $9.33 |
Pacific Source Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $21.38 | Facility | None | $10.72 | $12.88 | $21.38 |
Premera BCBS Setting Facility Modifier None Typical Low $10.72 Median $18.62 Typical High $29.51 | Facility | None | $10.72 | $18.62 | $29.51 |
Premera BCBS Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | None | $9.55 | $9.55 | $12.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $29.51 | Facility | None | $10.72 | $17.78 | $29.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $10.72 | Professional | None | $8.13 | $9.55 | $10.72 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $12.88 | Facility | None | $10.72 | $12.88 | $12.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $12.02 | Professional | None | $4.47 | $4.79 | $12.02 |
Wellpoint Setting Professional Modifier None Typical Low $4.79 Median $10.72 Typical High $19.50 | Professional | None | $4.79 | $10.72 | $19.50 |
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 $5.01 Median $5.01 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.01 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.45 |
Where Washington sits
The same service costs 3.9 times more in Kansas 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· 31st of 51
$10.00
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.