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 $4.57 Median $4.57 Typical High $14.79 | Facility | None | $4.57 | $4.57 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | None | $4.57 | $4.57 | $5.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3.63 Median $5.62 Typical High $13.49 | Facility | None | $3.63 | $5.62 | $13.49 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $4.90 | Professional | None | $3.63 | $4.37 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $8.71 Typical High $13.80 | Facility | None | $5.01 | $8.71 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.25 Typical High $7.24 | Professional | None | $3.09 | $5.25 | $7.24 |
Molina Setting Professional Modifier None Typical Low $3.09 Median $4.27 Typical High $4.27 | Professional | None | $3.09 | $4.27 | $4.27 |
Pacific Source Setting Facility Modifier None Typical Low $4.90 Median $6.76 Typical High $10.00 | Facility | None | $4.90 | $6.76 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $4.90 Median $8.51 Typical High $13.49 | Facility | None | $4.90 | $8.51 | $13.49 |
Premera BCBS Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.89 | Professional | None | $4.37 | $4.37 | $5.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.90 Median $7.94 Typical High $13.49 | Facility | None | $4.90 | $7.94 | $13.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $4.90 | Professional | None | $3.63 | $4.37 | $4.90 |
United Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $5.89 | Facility | None | $4.90 | $5.89 | $5.89 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.19 Typical High $5.50 | Professional | None | $2.04 | $2.19 | $5.50 |
Wellpoint Setting Professional Modifier None Typical Low $2.19 Median $4.90 Typical High $8.71 | Professional | None | $2.19 | $4.90 | $8.71 |
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 $2.29 Median $2.29 Typical High $2.88 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $1.15 | Professional | 53 · Discontinued | $0.91 | $0.91 | $1.15 |
Where Washington sits
The same service costs 3.8 times more in Kansas than in Nebraska. 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
$4.57
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.