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 $8.91 Median $8.91 Typical High $28.84 | Facility | None | $8.91 | $8.91 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | None | $8.91 | $8.91 | $11.22 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.08 Median $10.96 Typical High $25.70 | Facility | None | $7.08 | $10.96 | $25.70 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.08 Median $8.51 Typical High $9.33 | Professional | None | $7.08 | $8.51 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $16.98 Typical High $24.55 | Facility | None | $9.77 | $16.98 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $10.00 Typical High $13.80 | Professional | None | $5.75 | $10.00 | $13.80 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $8.32 | Professional | None | $6.03 | $8.32 | $8.32 |
Pacific Source Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $18.62 | Facility | None | $9.33 | $10.47 | $18.62 |
Premera BCBS Setting Facility Modifier None Typical Low $9.33 Median $16.60 Typical High $25.70 | Facility | None | $9.33 | $16.60 | $25.70 |
Premera BCBS Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $11.22 | Professional | None | $8.51 | $8.51 | $11.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $25.70 | Facility | None | $9.33 | $15.49 | $25.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.08 Median $8.51 Typical High $9.33 | Professional | None | $7.08 | $8.51 | $9.33 |
United Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $11.22 | Facility | None | $9.33 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.27 Typical High $10.47 | Professional | None | $3.98 | $4.27 | $10.47 |
Wellpoint Setting Professional Modifier None Typical Low $4.27 Median $9.33 Typical High $16.98 | Professional | None | $4.27 | $9.33 | $16.98 |
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 $4.47 Median $4.47 Typical High $5.62 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.24 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.24 |
Where Washington sits
The same service costs 3.5 times more in Kansas than in Alabama. 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
$8.91
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.