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 $15.49 Median $15.49 Typical High $50.12 | Facility | None | $15.49 | $15.49 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | None | $15.49 | $15.49 | $15.85 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $44.67 | Facility | None | $12.30 | $17.78 | $44.67 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $16.22 | Professional | None | $12.30 | $14.79 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $23.99 Typical High $40.74 | Facility | None | $4.68 | $23.99 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $8.13 Typical High $22.39 | Professional | None | $4.57 | $8.13 | $22.39 |
Molina Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | None | $10.47 | $14.45 | $14.45 |
Pacific Source Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $33.11 | Facility | None | $16.22 | $16.22 | $33.11 |
Premera BCBS Setting Facility Modifier None Typical Low $16.22 Median $28.84 Typical High $44.67 | Facility | None | $16.22 | $28.84 | $44.67 |
Premera BCBS Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $19.50 | Professional | None | $12.88 | $14.79 | $19.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $44.67 | Facility | None | $16.22 | $24.55 | $44.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $16.22 | Professional | None | $12.30 | $14.79 | $16.22 |
United Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $19.50 | Facility | None | $16.22 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $2.14 Median $6.92 Typical High $16.22 | Professional | None | $2.14 | $6.92 | $16.22 |
Wellpoint Setting Professional Modifier None Typical Low $7.41 Median $16.22 Typical High $29.51 | Professional | None | $7.41 | $16.22 | $29.51 |
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 $7.59 Median $7.59 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.16 |
Where Washington sits
The same service costs 8.9 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· 16th of 51
$15.49
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.