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 $9.55 Median $9.55 Typical High $30.90 | Facility | None | $9.55 | $9.55 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $10.23 | Professional | None | $9.55 | $9.55 | $10.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $27.54 | Facility | None | $7.59 | $11.48 | $27.54 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $10.00 | Professional | None | $7.59 | $9.12 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $14.79 Typical High $26.30 | Facility | None | $10.00 | $14.79 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $9.77 Typical High $14.13 | Professional | None | $5.13 | $9.77 | $14.13 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $8.91 | Professional | None | $6.46 | $8.91 | $8.91 |
Pacific Source Setting Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $19.95 | Facility | None | $10.00 | $11.48 | $19.95 |
Premera BCBS Setting Facility Modifier None Typical Low $10.00 Median $17.78 Typical High $27.54 | Facility | None | $10.00 | $17.78 | $27.54 |
Premera BCBS Setting Professional Modifier None Typical Low $8.51 Median $9.12 Typical High $12.02 | Professional | None | $8.51 | $9.12 | $12.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $10.00 Median $15.85 Typical High $27.54 | Facility | None | $10.00 | $15.85 | $27.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $10.00 | Professional | None | $7.59 | $9.12 | $10.00 |
United Setting Facility Modifier None Typical Low $10.00 Median $12.02 Typical High $12.02 | Facility | None | $10.00 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $10.72 | Professional | None | $4.27 | $4.27 | $10.72 |
Wellpoint Setting Professional Modifier None Typical Low $4.57 Median $10.00 Typical High $18.20 | Professional | None | $4.57 | $10.00 | $18.20 |
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 $4.79 Median $4.79 Typical High $4.90 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.95 |
Where Washington sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 27th of 51
$9.55
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.