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 $19.05 Median $19.05 Typical High $63.10 | Facility | None | $19.05 | $19.05 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | None | $19.05 | $19.05 | $19.95 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $56.23 | Facility | None | $15.14 | $22.39 | $56.23 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $20.42 | Professional | None | $15.14 | $18.20 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $30.20 Typical High $51.29 | Facility | None | $5.89 | $30.20 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $27.54 | Professional | None | $6.03 | $10.47 | $27.54 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $17.78 | Professional | None | $13.18 | $17.78 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $8.13 Median $21.38 Typical High $40.74 | Facility | None | $8.13 | $21.38 | $40.74 |
Premera BCBS Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $56.23 | Facility | None | $20.42 | $35.48 | $56.23 |
Premera BCBS Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $24.55 | Professional | None | $16.22 | $18.20 | $24.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $56.23 | Facility | None | $20.42 | $30.90 | $56.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $18.20 Typical High $20.42 | Professional | None | $15.14 | $18.20 | $20.42 |
United Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $24.55 | Facility | None | $20.42 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $2.69 Median $8.51 Typical High $20.42 | Professional | None | $2.69 | $8.51 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $9.12 Median $20.42 Typical High $36.31 | Professional | None | $9.12 | $20.42 | $36.31 |
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 $9.55 Median $9.55 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.98 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.98 |
Where Washington sits
The same service costs 7.6 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· 18th of 51
$19.05
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.