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 $28.84 Median $30.90 Typical High $95.50 | Facility | None | $28.84 | $30.90 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | None | $28.84 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $85.11 | Facility | None | $23.44 | $38.90 | $85.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $30.90 | Professional | None | $23.44 | $28.18 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $79.43 | Facility | None | $32.36 | $56.23 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $44.67 | Professional | None | $19.50 | $33.11 | $44.67 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $27.54 | Professional | None | $19.95 | $27.54 | $27.54 |
Pacific Source Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $61.66 | Facility | None | $30.90 | $30.90 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $85.11 | Facility | None | $30.90 | $53.70 | $85.11 |
Premera BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $37.15 | Professional | None | $28.18 | $28.18 | $37.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $85.11 | Facility | None | $30.90 | $51.29 | $85.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $30.90 | Professional | None | $23.44 | $28.18 | $30.90 |
United Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $37.15 | Facility | None | $30.90 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $34.67 | Professional | None | $12.88 | $13.80 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $13.80 Median $30.90 Typical High $56.23 | Professional | None | $13.80 | $30.90 | $56.23 |
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 $14.45 Median $14.45 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.41 |
Where Washington sits
The same service costs 4.2 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· 30th of 51
$28.84
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.