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 $7.24 Median $7.24 Typical High $23.44 | Facility | None | $7.24 | $7.24 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | None | $7.24 | $7.24 | $9.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $5.75 Median $9.55 Typical High $21.38 | Facility | None | $5.75 | $9.55 | $21.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $7.76 | Professional | None | $5.75 | $6.92 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $14.13 Typical High $24.55 | Facility | None | $7.94 | $14.13 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $8.32 Typical High $11.48 | Professional | None | $4.68 | $8.32 | $11.48 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $6.76 | Professional | None | $4.90 | $6.76 | $6.76 |
Pacific Source Setting Facility Modifier None Typical Low $7.76 Median $9.33 Typical High $15.49 | Facility | None | $7.76 | $9.33 | $15.49 |
Premera BCBS Setting Facility Modifier None Typical Low $7.76 Median $13.49 Typical High $21.38 | Facility | None | $7.76 | $13.49 | $21.38 |
Premera BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.33 | Professional | None | $6.92 | $6.92 | $9.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.76 Median $12.59 Typical High $21.38 | Facility | None | $7.76 | $12.59 | $21.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $7.76 | Professional | None | $5.75 | $6.92 | $7.76 |
United Setting Facility Modifier None Typical Low $7.76 Median $9.33 Typical High $9.33 | Facility | None | $7.76 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $8.71 | Professional | None | $3.24 | $3.47 | $8.71 |
Wellpoint Setting Professional Modifier None Typical Low $3.47 Median $7.76 Typical High $13.80 | Professional | None | $3.47 | $7.76 | $13.80 |
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 $3.63 Median $3.63 Typical High $4.57 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.86 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.86 |
Where Washington sits
The same service costs 3.2 times more in Alaska 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· 30th of 51
$7.24
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.