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 $17.78 Median $17.78 Typical High $38.02 | Facility | None | $17.78 | $17.78 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | None | $17.78 | $17.78 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $52.48 | Facility | None | $14.13 | $21.88 | $52.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $19.05 | Professional | None | $14.13 | $16.98 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $48.98 | Facility | None | $19.95 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.95 Typical High $27.54 | Professional | None | $11.75 | $19.95 | $27.54 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $16.60 | Professional | None | $12.30 | $16.60 | $16.60 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $38.02 | Facility | None | $19.05 | $20.89 | $38.02 |
Premera BCBS Setting Facility Modifier None Typical Low $19.05 Median $33.11 Typical High $52.48 | Facility | None | $19.05 | $33.11 | $52.48 |
Premera BCBS Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | None | $16.98 | $16.98 | $22.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $52.48 | Facility | None | $19.05 | $30.90 | $52.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $19.05 | Professional | None | $14.13 | $16.98 | $19.05 |
United Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $22.91 | Facility | None | $19.05 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $21.38 | Professional | None | $7.94 | $8.51 | $21.38 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $19.05 Typical High $33.88 | Professional | None | $8.51 | $19.05 | $33.88 |
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 $8.91 Median $8.91 Typical High $11.48 | Professional | 52 · Reduced service | $8.91 | $8.91 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.57 |
Where Washington sits
The same service costs 5.5 times more in Kansas than in Alabama. 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· 34th of 51
$17.78
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.