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 $3.55 Median $3.55 Typical High $8.91 | Facility | None | $3.55 | $3.55 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $5.25 | Professional | None | $3.55 | $3.55 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $7.59 | Professional | None | $2.34 | $2.34 | $7.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2.82 Median $4.79 Typical High $10.47 | Facility | None | $2.82 | $4.79 | $10.47 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2.82 Median $3.39 Typical High $3.80 | Professional | None | $2.82 | $3.39 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $6.31 Typical High $10.96 | Facility | None | $3.98 | $6.31 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $4.17 Typical High $5.62 | Professional | None | $2.19 | $4.17 | $5.62 |
Molina Setting Professional Modifier None Typical Low $2.45 Median $3.31 Typical High $3.31 | Professional | None | $2.45 | $3.31 | $3.31 |
Pacific Source Setting Facility Modifier None Typical Low $3.80 Median $4.57 Typical High $7.41 | Facility | None | $3.80 | $4.57 | $7.41 |
Premera BCBS Setting Facility Modifier None Typical Low $3.80 Median $6.61 Typical High $10.47 | Facility | None | $3.80 | $6.61 | $10.47 |
Premera BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.57 | Professional | None | $3.39 | $3.39 | $4.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.80 Median $6.17 Typical High $10.47 | Facility | None | $3.80 | $6.17 | $10.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.82 Median $3.39 Typical High $3.80 | Professional | None | $2.82 | $3.39 | $3.80 |
United Setting Facility Modifier None Typical Low $3.80 Median $4.57 Typical High $4.57 | Facility | None | $3.80 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $1.58 Median $1.70 Typical High $4.27 | Professional | None | $1.58 | $1.70 | $4.27 |
Wellpoint Setting Professional Modifier None Typical Low $1.70 Median $3.80 Typical High $6.92 | Professional | None | $1.70 | $3.80 | $6.92 |
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 $1.78 Median $1.78 Typical High $2.04 | Professional | 52 · Reduced service | $1.78 | $1.78 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.81 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.81 |
Where Washington sits
The same service costs 11.7 times more in Minnesota 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· 33rd of 51
$3.63
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.