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 $19.95 Median $19.95 Typical High $66.07 | Facility | None | $19.95 | $19.95 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | None | $19.95 | $19.95 | $22.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $58.88 | Facility | None | $15.85 | $23.44 | $58.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $21.38 | Professional | None | $15.85 | $19.05 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $34.67 Typical High $54.95 | Facility | None | $21.88 | $34.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $30.20 | Professional | None | $12.02 | $22.39 | $30.20 |
Molina Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | None | $13.49 | $18.62 | $18.62 |
Pacific Source Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $42.66 | Facility | None | $21.38 | $23.44 | $42.66 |
Premera BCBS Setting Facility Modifier None Typical Low $21.38 Median $37.15 Typical High $58.88 | Facility | None | $21.38 | $37.15 | $58.88 |
Premera BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | None | $19.05 | $19.05 | $25.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $21.38 Median $33.88 Typical High $58.88 | Facility | None | $21.38 | $33.88 | $58.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $21.38 | Professional | None | $15.85 | $19.05 | $21.38 |
United Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $25.70 | Facility | None | $21.38 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $23.99 | Professional | None | $8.91 | $9.55 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $9.55 Median $21.38 Typical High $38.02 | Professional | None | $9.55 | $21.38 | $38.02 |
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 $10.00 Median $10.00 Typical High $11.48 | Professional | 52 · Reduced service | $10.00 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.57 |
Where Washington sits
The same service costs 3.4 times more in Alaska 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· 28th of 51
$19.95
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.