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 $83.18 Median $83.18 Typical High $269.15 | Facility | None | $83.18 | $83.18 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None | $83.18 | $83.18 | $85.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $239.88 | Facility | None | $66.07 | $97.72 | $239.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $87.10 | Professional | None | $66.07 | $79.43 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $229.09 | Facility | None | $83.18 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $83.18 Typical High $120.23 | Professional | None | $44.67 | $83.18 | $120.23 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | None | $56.23 | $77.62 | $77.62 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $177.83 | Facility | None | $87.10 | $100.00 | $177.83 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $239.88 | Facility | None | $87.10 | $154.88 | $239.88 |
Premera BCBS Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | None | $72.44 | $79.43 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $131.83 Typical High $239.88 | Facility | None | $87.10 | $131.83 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $87.10 | Professional | None | $66.07 | $79.43 | $87.10 |
United Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $104.71 | Facility | None | $87.10 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $89.13 | Professional | None | $37.15 | $37.15 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $87.10 Typical High $158.49 | Professional | None | $39.81 | $87.10 | $158.49 |
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 $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.98 |
Where Washington sits
The same service costs 4.2 times more in Alaska 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· 24th of 51
$83.18
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.