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 $33.11 Median $33.11 Typical High $109.65 | Facility | None | $33.11 | $33.11 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None | $33.11 | $33.11 | $42.66 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.30 Median $40.74 Typical High $97.72 | Facility | None | $26.30 | $40.74 | $97.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $35.48 | Professional | None | $26.30 | $31.62 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $91.20 | Facility | None | $37.15 | $64.57 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $51.29 | Professional | None | $21.88 | $37.15 | $51.29 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | None | $22.39 | $30.90 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $70.79 | Facility | None | $35.48 | $35.48 | $70.79 |
Premera BCBS Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $97.72 | Facility | None | $35.48 | $61.66 | $97.72 |
Premera BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $97.72 | Facility | None | $35.48 | $58.88 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $35.48 | Professional | None | $26.30 | $31.62 | $35.48 |
United Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $42.66 | Facility | None | $35.48 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $39.81 | Professional | None | $14.79 | $15.85 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $35.48 Typical High $63.10 | Professional | None | $15.85 | $35.48 | $63.10 |
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 $16.60 Median $16.60 Typical High $20.89 | Professional | 52 · Reduced service | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
Where Washington sits
The same service costs 4.3 times more in Alaska 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· 26th of 51
$33.11
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.