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 $6.17 Median $6.17 Typical High $19.95 | Facility | None | $6.17 | $6.17 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.76 | Professional | None | $6.17 | $6.17 | $7.76 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $4.90 Median $8.13 Typical High $17.78 | Facility | None | $4.90 | $8.13 | $17.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $6.46 | Professional | None | $4.90 | $5.89 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $11.75 Typical High $20.89 | Facility | None | $6.76 | $11.75 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $6.92 Typical High $9.33 | Professional | None | $3.98 | $6.92 | $9.33 |
Molina Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $5.75 | Professional | None | $4.17 | $5.75 | $5.75 |
Pacific Source Setting Facility Modifier None Typical Low $6.46 Median $10.96 Typical High $14.45 | Facility | None | $6.46 | $10.96 | $14.45 |
Premera BCBS Setting Facility Modifier None Typical Low $6.46 Median $11.48 Typical High $17.78 | Facility | None | $6.46 | $11.48 | $17.78 |
Premera BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.76 | Professional | None | $5.89 | $5.89 | $7.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $6.46 Median $10.72 Typical High $17.78 | Facility | None | $6.46 | $10.72 | $17.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.90 Median $5.89 Typical High $6.46 | Professional | None | $4.90 | $5.89 | $6.46 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.76 Typical High $7.76 | Facility | None | $6.46 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $2.75 Median $2.95 Typical High $7.24 | Professional | None | $2.75 | $2.95 | $7.24 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $6.46 Typical High $11.75 | Professional | None | $2.95 | $6.46 | $11.75 |
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 $3.09 Median $3.09 Typical High $3.89 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.55 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.55 |
Where Washington sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$6.17
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.