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 $23.44 Median $23.44 Typical High $77.62 | Facility | None | $23.44 | $23.44 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | None | $23.44 | $23.44 | $28.18 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $69.18 | Facility | None | $19.05 | $27.54 | $69.18 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | None | $19.05 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $64.57 | Facility | None | $26.30 | $42.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $36.31 | Professional | None | $14.79 | $26.92 | $36.31 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
Pacific Source Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $51.29 | Facility | None | $25.12 | $28.18 | $51.29 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $43.65 Typical High $69.18 | Facility | None | $25.12 | $43.65 | $69.18 |
Premera BCBS Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | None | $22.91 | $22.91 | $30.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $69.18 | Facility | None | $25.12 | $41.69 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | None | $19.05 | $22.91 | $25.12 |
United Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $30.20 | Facility | None | $25.12 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $28.18 | Professional | None | $10.47 | $11.22 | $28.18 |
Wellpoint Setting Professional Modifier None Typical Low $11.22 Median $25.12 Typical High $45.71 | Professional | None | $11.22 | $25.12 | $45.71 |
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 $11.75 Median $11.75 Typical High $14.13 | Professional | 52 · Reduced service | $11.75 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.62 |
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· 30th of 51
$23.44
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.