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 $15.85 Median $15.85 Typical High $52.48 | Facility | None | $15.85 | $15.85 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $20.42 | Professional | None | $15.85 | $15.85 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $46.77 | Facility | None | $12.88 | $18.62 | $46.77 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $16.98 | Professional | None | $12.88 | $15.49 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $53.70 | Facility | None | $17.78 | $30.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $43.65 | Professional | None | $19.95 | $21.88 | $43.65 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $15.14 | Professional | None | $8.32 | $11.22 | $15.14 |
Pacific Source Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $35.48 | Facility | None | $16.98 | $24.55 | $35.48 |
Pacific Source Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $46.77 | Facility | None | $16.98 | $29.51 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Professional | None | $15.49 | $15.49 | $20.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $46.77 | Facility | None | $16.98 | $28.18 | $46.77 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.88 Median $15.49 Typical High $16.98 | Professional | None | $12.88 | $15.49 | $16.98 |
United Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $20.42 | Facility | None | $16.98 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $19.05 | Professional | None | $7.08 | $7.08 | $19.05 |
Wellpoint Setting Professional Modifier None Typical Low $7.59 Median $16.98 Typical High $30.90 | Professional | None | $7.59 | $16.98 | $30.90 |
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 $7.94 Median $7.94 Typical High $10.23 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.07 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.07 |
Where Washington sits
The same service costs 3.7 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· 32nd of 51
$16.98
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.